title: Stoma care products represent a common and previously underreported source of peristomal contact dermatitis.
abstract: BACKGROUND
  Peristomal dermatitis is a common complication for the >700 000 patients in the United States with an ostomy. The role of stoma skin care products in peristomal dermatitis is poorly understood.
  
  
  OBJECTIVE
  To evaluate stoma skin care products as a cause of peristomal dermatitis.
  
  
  METHODS
  A retrospective chart review of patients with peristomal dermatitis at four academic hospitals from January 2010 to March 2014 was performed. Patient demographics, clinical information and use test and patch test results were documented.
  
  
  RESULTS
  Eighteen patients identified as having peristomal dermatitis were tested. Twelve of these had peristomal contact dermatitis. We identified numerous stoma skin care products as triggers of irritant and/or allergic contact dermatitis. The most common stoma skin care product used and/or involved in dermatitis was Cavilon™ No Sting Barrier Film.
  
  
  CONCLUSIONS
  Our data support a paradigm shift whereby healthcare workers treating patients with peristomal dermatitis, which is currently considered to be a reaction mainly to bodily fluids, must consider those products used to protect the skin as potential triggers for this disease. Therefore, patients with peristomal dermatitis should be tested with their stoma skin care agents to determine the need for removal or change of these products. Additionally, full ingredient labelling by manufacturers would help identify new allergens and irritants.
authors: Department of Dermatology, Weill Cornell Medical Center and New York-Presbyterian Hospital, New York, NY 10065, USA.
authors: Brienne D
authors: BD
authors: Cressey
authors: Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY 10022, USA.
authors: Viswanath R
authors: VR
authors: Belum
authors: Department of Dermatology, Tufts Medical Center, Boston, MA 02111, USA.|Department of Dermatology, Brigham and Women's Hospital, Boston, MA 02115, USA.
authors: Pamela
authors: P
authors: Scheinman
authors: Division of Dermatology, Department of Medicine, University of Massachusetts Medical School, Worcester, MA 01605, USA.
authors: Dianne
authors: D
authors: Silvestri
authors: Sidney Kimmel Center for Prostate and Urologic Cancers, Memorial Sloan-Kettering Cancer Center, New York, NY 10065, USA.
authors: Nancy
authors: N
authors: McEntee
authors: Sidney Kimmel Center for Prostate and Urologic Cancers, Memorial Sloan-Kettering Cancer Center, New York, NY 10065, USA.
authors: Vashti
authors: V
authors: Livingston
authors: Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY 10022, USA.
authors: Mario E
authors: ME
authors: Lacouture
authors: Department of Dermatology, Weill Cornell Medical Center and New York-Presbyterian Hospital, New York, NY 10065, USA.
authors: Jonathan H
authors: JH
authors: Zippin
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003125:Colostomy; D017449:Dermatitis, Allergic Contact / Q000209:etiology*; D005260:Female; D006801:Humans; D007081:Ileostomy; D008297:Male; D008875:Middle Aged; D009824:Ointments / Q000009:adverse effects*; D011183:Postoperative Complications / Q000209:etiology*; D012189:Retrospective Studies; D017592:Skin Care / Q000009:adverse effects*; D063465:Skin Cream / Q000009:adverse effects*; D054047:Surgical Stomas; D014547:Urinary Diversion
chemical_list: D009824:Ointments
keywords: allergic contact dermatitis; irritant contact dermatitis; ostomy; patch test; peristomal dermatitis; skin barrier; skin care products; stoma