Wow!

This has been extremely helpful.

Thank you all for your help.

Best wishes,

Rhiannon

Thanks Tanya

Very helpful, not seeing lots of cases here for some reason.

Mabs

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]

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

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

Thanks Natalie.  I will ask her

Adam

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]

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]

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]

Thanks

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]

I believe Isobornyl acrylate ( IBOA) & Colophonium are the most common allergens identified. IBOA has been found in FreeStyle Libre.

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]

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