Peristomal allergic contact dermatitis – case report and review of the literature

Authors

  • J. A. Martin,

    Corresponding author
    1. Department of Occupational Dermatology, Royal Gwent Hospital, Newport, South Wales NP20 2UB, UK
      Dr Julie Martin
      Department of Dermatology
      Royal Gwent Hospital
      Newport
      South Wales NP20 2UB
      UK
      Tel: +44 1633 234234
      Fax: +44 1633 215729
      e-mail: jamartin@doctors.org.uk
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  • T. M. Hughes,

    1. Department of Occupational Dermatology, Royal Gwent Hospital, Newport, South Wales NP20 2UB, UK
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  • N. M. Stone

    1. Department of Occupational Dermatology, Royal Gwent Hospital, Newport, South Wales NP20 2UB, UK
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Dr Julie Martin
Department of Dermatology
Royal Gwent Hospital
Newport
South Wales NP20 2UB
UK
Tel: +44 1633 234234
Fax: +44 1633 215729
e-mail: jamartin@doctors.org.uk

Abstract

Allergic contact dermatitis (ACD) is a rare cause of peristomal skin problems. Only 23 cases have previously been reported in the literature. We report the case of a colostomy patient with a severe disabling blistering peristomal dermatitis. Patch testing to a British Contact Dermatitis Society standard series, medicaments and a plastics and glues series was negative. Patch testing to the patient's own products gave a positive reaction (+) at D2 and D4 to Dansac® soft paste and Stomahesive® paste. Further patch testing to the components of Dansac® soft paste showed a positive (+) reaction at D2 and D4 to ester of polymethyl vinyl/maleic acid copolymer (Gantrez®-ES) only. This is the first reported case of ACD due to Dansac® soft paste. ACD to Gantrez® has previously been reported but in different products. We also review the other previously reported cases of ACD causing peristomal dermatitis and stress the importance of patch testing in these cases, in particular to the patient's own products, as avoidance of identified allergens can have a large impact on the quality of life.

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