orabase and Dermatitis--Contact

The most common complication in individuals with ostomies is irritant contact dermatitis from the acidic stoma effluent coming into contact with the peristomal skin. Although protective powders are widely used for the treatment of peristomal skin, there is little scientific evidence to justify their use. The combined use of sodium carboxymethylcellulose cellulose fibers (SCCFs) together with a hydrocolloid dressing for fixation is an effective alternative in the management of these wounds. Here, the authors report a case series of three patients presenting at a stoma therapy clinic with peristomal skin lesions because of severe irritant contact dermatitis. Patients were men aged between 70 and 81 years, had been diagnosed with colon cancer (n = 2) or bladder cancer (n = 1), and had undergone a colostomy (n = 1), ileostomy (n = 1), or Bricker-type ureteroileostomy (n = 1). A semiocclusive care protocol was applied in a moist environment using SCCF and an extrathin hydrocolloid adhesive dressing, and the collection device was secured using adhesive resin and an ostomy belt. The combined use of SCCF and hydrocolloid dressings provided beneficial results to treat the dermatitis, with reduced discomfort after 7 days and lesions healing within 4 weeks.

Topics: Aged; Aged, 80 and over; Bandages, Hydrocolloid; Carboxymethylcellulose Sodium; Case-Control Studies; Dermatitis, Contact; Female; Humans; Irritants; Male; Middle Aged; Occlusive Dressings; Ostomy; Treatment Outcome; Wound Healing

A woman developed dermatitis from Stomadhesive paste used to secure her colostomy appliance. Patch testing revealed that she was allergic to Gantrez (N-butylmonoester of polymethyl vinyl ether maleic acid in an ethanol solution), a water soluble copolymer with stabilizing properties used in the production of Stomadhesive.

Topics: Carboxymethylcellulose Sodium; Colostomy; Dermatitis, Contact; Drug Combinations; Gelatin; Humans; Methylcellulose; Middle Aged; Pectins; Polyenes; Tissue Adhesives

Topics: Acrylates; Adult; Aged; Carboxymethylcellulose Sodium; Dermatitis, Contact; Dermatologic Agents; Drug Combinations; Female; Gelatin; Humans; Male; Middle Aged; Pectins; Polyenes; Silicone Elastomers; Skin Tests; Tissue Adhesives; Urinary Diversion

Topics: Adult; Carboxymethylcellulose Sodium; Dermatitis, Atopic; Dermatitis, Contact; Dermatitis, Occupational; Humans; Male; Methylcellulose

Topics: Adult; Carboxymethylcellulose Sodium; Cooking; Dermatitis, Contact; Dermatitis, Occupational; Food-Processing Industry; Humans; Japan; Male; Methylcellulose