一个幼儿患有由糖尿病设备引起的全身性接触性皮肤炎
Anne Viktoria Lyngstadaas1, Jan-Øivind Holm1,2, Lars Krogvold3
1Department of Dermatology Rikshospitalet Oslo University Hospital Oslo Norway.
Skin health and disease
|August 4, 2023
概括
连续血糖监测器 (CGM) 和胰岛素引起的过敏接触性皮肤炎是1型糖尿病 (T1D) 患者的风险. 一个小孩经历了严重的反应,突出了这个报告不足的并发症.
科学领域:
- 皮肤病学 皮肤病学
- 内分泌学 在内分泌学.
- 儿科 儿科 儿科
背景情况:
- 连续血糖监测器 (CGM) 和胰岛素是治疗儿童和青少年1型糖尿病 (T1D) 的主要工具.
- 这些糖尿病设备中的粘合剂和材料是已知的过敏接触性皮肤炎的原因.
- 严重的皮肤反应可能导致二次感染和住院治疗.
研究的目的:
- 在使用糖尿病设备的幼儿中报告严重的接触性皮肤炎和全身接触性皮肤炎病例.
- 为了确定负责患者反应的特定过敏原.
- 提高人们对与糖尿病相关的皮肤并发症的认识.
主要方法:
- 一名患有1型糖尿病的幼儿使用CGM和胰岛素的案例报告.
- 临床观察严重的接触性皮肤炎和对称的血.
- 诊断贴片测试用于识别特定的过敏原.
主要成果:
- 患者患有严重的接触性皮肤炎和对称的液.
- 补丁试验证实了对异博尼尔烯酸盐 (IBOA) 和4-三-丁甲基醇 (PTBC) 的积极反应.
- 从糖尿病器件中诊断出这种外是系统性接触性皮肤炎,归因于IBOA和PTBC.
结论:
- 系统性接触性皮肤炎是CGM和胰岛素在1型糖尿病中的潜在并发症.
- IBOA和PTBC被确定为糖尿病设备粘合剂中的过敏原,导致严重的皮肤反应.
- 需要提高临床怀疑和意识,在儿科糖尿病管理中报告不足的皮肤病问题.
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