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Rhiannon Seys Llewellyn replied to the topic insulin pump/continous glucose monitor in the forum Questions 6 days ago
Wow!
This has been extremely helpful.
Thank you all for your help.
Best wishes,
Rhiannon
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Mabs Chowdhury replied to the topic insulin pump/continous glucose monitor in the forum Questions 2 weeks ago
Thanks Tanya
Very helpful, not seeing lots of cases here for some reason.
Mabs
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Adam Haworth replied to the topic Nail Technician reaction with negative patch tests in the forum Questions 2 weeks ago
Thanks Mark. Yes I will get the varnish off her and dilute. I don’t keep all my isocyanates in the freezer as some don’t specify this. Do you freeze all of yours? I don’t use them often so I suspect it is a good idea.
She is keen to get to the bottom of this so I am sure she will want to be tested. I will let you know results.
Thanks for…[Read more]
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Mark Wilkinson replied to the topic Nail Technician reaction with negative patch tests in the forum Questions 2 weeks ago
If a convincing history I’d be inclined to obtain and dilute the actual nail varnish for testing (in case not a standard allergen). I suppose the other thing with isocyanates is to check that they’ve been stored in a freezer as highly volatile and nothing may be left if not?
cheers Mark
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Tanya Bleiker replied to the topic insulin pump/continous glucose monitor in the forum Questions 2 weeks ago
This is what I have been doing:
Device components
(Meth) acrylates series – In very young children I just tested to: IBOA & ethylcyanoacrylate
Propylene glycol
Sorbitan sesquioleate
Standard series (in very young children I just tested to Epoxy resin & Colophony)
BW
Tanya
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Adam Haworth replied to the topic Nail Technician reaction with negative patch tests in the forum Questions 2 weeks ago
Thanks Natalie. I will ask her
Adam
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Natalie Stone replied to the topic Nail Technician reaction with negative patch tests in the forum Questions 2 weeks ago
Does she use a sunbed Adam?
I had a patient with eyelid eczema caused by acrylate in her eyelash glue and photos of stripes of eczema on her cheeks where she used the same glue to stick glitter. But patch test to acrylates series and her glue negative. Then found she used tanning bed once a week. Retest a few months later having stopped the…[Read more] -
Adam Haworth started the topic Nail Technician reaction with negative patch tests in the forum Questions 2 weeks ago
Dear All
Please help! I have a fit and well nail technician who clinically was reacting to her to nail products with periorbital eczema but patch testing to BSCA standard, facial and full acrylate screening batteries was negative. We were both surprised given the clinical history that this was negative. On Friday looking again at the data sh…[Read more]
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Preshita Divekar replied to the topic insulin pump/continous glucose monitor in the forum Questions 1 month ago
Dear Tanya
Please could you share with us your series for patch testing these young patients.
I have just received a letter from paediatric colleague who has sent a copy of the above findings and asked whether they should now start referring these patients. They seem to have seen a lot of them with problems and been treating with Cavilon and…[Read more]
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Tanya Bleiker replied to the topic insulin pump/continous glucose monitor in the forum Questions 1 month ago
Hi!
I think this will have been me that has triggered this, apologies!
I have been looking into this issue with my paediatric diabetic colleagues in Derby for a few years. The East Midlands Paeds Diabetic Network sent around a survey to both diabetes and dermatology patch testing teams across the country asking about their experiences of c…[Read more]
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Tanya Bleiker replied to the topic insulin pump/continous glucose monitor in the forum Questions 1 month ago
Thanks
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Faheem Latheef replied to the topic insulin pump/continous glucose monitor in the forum Questions 1 month ago
Hi Rhiannon,
These reactions are likely to be due to isobornyl acrylate contained in the adhesives used for these pumps (freestyle libre and omnipod in particular) which is well reported by our European colleagues but seems to be less well recognised in the UK as far as I am aware. We have been testing to it in Leeds in our acrylate series for…[Read more]
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Ting Seng Tang replied to the topic insulin pump/continous glucose monitor in the forum Questions 1 month ago
I believe Isobornyl acrylate ( IBOA) & Colophonium are the most common allergens identified. IBOA has been found in FreeStyle Libre.
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Rhiannon Seys Llewellyn started the topic insulin pump/continous glucose monitor in the forum Questions 1 month ago
Dear Colleagues,
We have recently had the following from our paediatric colleagues …….
“There is an increasing concern in children and young people with diabetes. Many of them are on some form of continuous glucose monitor (CGM) or an insulin pump, and we have a few who have bad reactions to the adhesives.
We try and manage these…[Read more]
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Seau Tak Cheung started the topic nickel free make up – brand recommendations? in the forum Questions 2 months ago
I have a patient who is strongly positive to nickel. She is having trouble finding a suitable nickel and iron oxide free makeup brands. Please can you recommend any suitable brands of make up?
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Fiona MacDonald started the topic Sodium metabisulfite and dopamine/dobutamine in the forum Questions 2 months ago
Dear All,
Has anyone came across this issue before? A patient with positive patch test to sodium metabisulfite requires cardiac surgery. The cardiac team have put an immense amount of work into accommodating her contact allergies but both dopamine and dobutamine contain sodium metabisulfite. I would greatly appreciate any thoughts/experience? Thank you.
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susannah george replied to the topic Patch testing in second lockdown in the forum Questions 3 months ago
We haven’t done any patch testing since March. Everything stopped as there were plans for redeployment, although we were not needed on the Covid ward in the end. Our 2ww and other lesion referrals seem to have increased massively as GPs not seeing f2f and now no filter in primary care. I have mostly been doing 2ww clinics and we generally see m…[Read more]
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Natalie Stone replied to the topic Patch testing in second lockdown in the forum Questions 3 months ago
Hi Preshita,
Our department is continuing with patch testing for urgent cases at the moment. We aren’t doing Covid tests prior but being strict about asking the covid screening questions prior and checking temp on arrival.
Things may obviously change!
b/w
Natalie
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Preshita Divekar started the topic Patch testing in second lockdown in the forum Questions 3 months ago
Are patch test clinics going to be continued as before?
Are there centres carrying out COVID swabs prior to patch testing?
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Avad Mughal started the topic Gel Saddles in the forum Questions 4 months ago
Dear all,
I’m looking to investigate a patient for potential allergy to their bicycle saddle and they tell me it is a gel saddle. It has a lycra cover but the gel material beneath is quite firm and I cannot find any ingredients listed anywhere. There are no mentions of Gel Saddlle on PubMed and I do not have Jane Sterling’s contact details.
Can…[Read more]
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