Prevalence of dermatitis including allergic contact dermatitis from medical devices used by children and adults with Type 1 diabetes mellitus: A systematic review and questionnaire study.

Autor: von Kobyletzki LB; Department of Occupational and Environmental Dermatology, Lund University, Skåne University Hospital, Malmö, Sweden.; School of Medical Sciences, Örebro University, Örebro, Sweden., Ulriksdotter J; Department of Occupational and Environmental Dermatology, Lund University, Skåne University Hospital, Malmö, Sweden., Sukakul T; Department of Occupational and Environmental Dermatology, Lund University, Skåne University Hospital, Malmö, Sweden., Aerts O; Contact Allergy Unit, Department of Dermatology, University Hospital Antwerp (UZA) and Research Group Immunology, University of Antwerp, Antwerp, Belgium., Agner T; Department of Dermatology, Bispebjerg University Hospital, Copenhagen, Denmark., Buhl T; Department of Dermatology, Venereology and Allergology, University Medical Center Göttingen, Göttingen, Germany., Bruze M; Department of Occupational and Environmental Dermatology, Lund University, Skåne University Hospital, Malmö, Sweden., Foti C; Section of Dermatology, DIMEPREJ Department, University 'Aldo Moro', Bari, Italy., Gimenez-Arnau A; Department of Dermatology, Hospital del Mar and Research Institute de Barcelona, Universitat Pompeu Fabra, Barcelona, Spain., Gonçalo M; Clinic of Dermatology, Coimbra University Hospital and Faculty of Medicine, University of Coimbra, Coimbra, Portugal., Hamnerius N; Department of Occupational and Environmental Dermatology, Lund University, Skåne University Hospital, Malmö, Sweden., Johansen JD; Department of Dermatology, Herlev and Gentofte Hospital, Copenhagen, Denmark., Rustemeyer T; Dermato-Allergology and Occupational Dermatology, Amsterdam University Medical Centers, Amsterdam, The Netherlands., Stingeni L; Dermatology Section, Department of Medicine and Surgery, University of Perugia, Perugia, Italy., Wilkinson M; Leeds Teaching Hospitals, NHS Trust, Leeds, UK., Svedman C; Department of Occupational and Environmental Dermatology, Lund University, Skåne University Hospital, Malmö, Sweden.
Jazyk: angličtina
Zdroj: Journal of the European Academy of Dermatology and Venereology : JEADV [J Eur Acad Dermatol Venereol] 2024 Jul; Vol. 38 (7), pp. 1329-1346. Date of Electronic Publication: 2024 Feb 23.
DOI: 10.1111/jdv.19908
Abstrakt: Use of medical devices (MDs), that is, glucose sensors and insulin pumps, in patients with Type 1 diabetes mellitus (T1D) has proven an enormous advantage for disease control. Adverse skin reactions from these MDs may however hamper compliance. The objective of this study was to systematically review and analyse studies assessing the prevalence and incidence of dermatitis, including allergic contact dermatitis (ACD) related to MDs used in patients with T1D and to compare referral routes and the clinical investigation routines between clinics being part of the European Environmental and Contact Dermatitis Research Group (EECDRG). A systematic search of PubMed, EMBASE, CINAHL and Cochrane databases of full-text studies reporting incidence and prevalence of dermatitis in persons with T1D using MDs was conducted until December 2021. The Newcastle-Ottawa Scale was used to assess study quality. The inventory performed at EECRDG clinics focused on referral routes, patient numbers and the diagnostic process. Among the 3145 screened abstracts, 39 studies fulfilled the inclusion criteria. Sixteen studies included data on children only, 14 studies were on adults and nine studies reported data on both children and adults. Participants were exposed to a broad range of devices. Skin reactions were rarely specified. It was found that both the diagnostic process and referral routes differ in different centres. Further data on the prevalence of skin reactions related to MDs in individuals with T1D is needed and particularly studies where the skin reactions are correctly diagnosed. A correct diagnosis is delayed or hampered by the fact that, at present, the actual substances within the MDs are not declared, are changed without notice and the commercially available test materials are not adequately updated. Within Europe, routines for referral should be made more standardized to improve the diagnostic procedure when investigating patients with possible ACD from MDs.
(© 2024 The Authors. Journal of the European Academy of Dermatology and Venereology published by John Wiley & Sons Ltd on behalf of European Academy of Dermatology and Venereology.)
Databáze: MEDLINE
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