Results of patch testing in 10 patients with peristomal dermatitis

Megan N. Landis, James H. Keeling, James A. Yiannias, Donna M. Richardson, Diane L. Nordberg Linehan, Mark D.P. Davis

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

Background: Peristomal dermatitis is a common problem in patients with ostomies that is a source of considerable morbidity. Irritant contact dermatitis is most common, but allergic contact dermatitis can also occur. Because of the lack of published reports on patch testing for this indication, we undertook a retrospective study of patch testing results in patients with suspected peristomal allergic contact dermatitis. Objective: We sought to describe our patch testing experience with patients referred with peristomal dermatitis. Methods: This was a retrospective review of medical records of patients with ostomies and peristomal dermatitis who underwent patch testing in the Mayo Clinic Departments of Dermatology in Jacksonville, FL; Rochester, MN; and Scottsdale, AZ, during a 10-year period (2000-2010). Results: Ten patients with peristomal dermatitis were referred for patch testing (6 in Minnesota, 2 in Florida, and 2 in Arizona). Patients were patch tested to the materials used in their stoma devices, to the standard series, and in some cases to supplemental series. All 10 had at least one allergic patch test reaction, most commonly to stoma paste (3 of 10 patients). Limitations: Retrospective nature of study via chart review is a limitation. Conclusion: Patch testing is a useful tool for identification of allergens in patients with peristomal dermatitis.

Original languageEnglish (US)
Pages (from-to)e91-e104
JournalJournal of the American Academy of Dermatology
Volume67
Issue number3
DOIs
StatePublished - Sep 1 2012

Keywords

  • allergens
  • allergic contact
  • dermatitis
  • ostomy
  • patch tests
  • surgical stomas

ASJC Scopus subject areas

  • Dermatology

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    Landis, M. N., Keeling, J. H., Yiannias, J. A., Richardson, D. M., Nordberg Linehan, D. L., & Davis, M. D. P. (2012). Results of patch testing in 10 patients with peristomal dermatitis. Journal of the American Academy of Dermatology, 67(3), e91-e104. https://doi.org/10.1016/j.jaad.2011.07.009