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Journal of the American Academy of Dermatology
Volume 42, n° 3
pages 501-507 (mars 2000)
Doi : 10.1016/S0190-9622(00)90227-5
Skin disorders in amputees

Calum C. Lyon, MA, MRCPa, Jai Kulkarni, FRCPb, Erik Zimersonc, Ernest Van Ross, FRCSb, Michael H. Beck, FRCPa
Salford and Manchester, United Kingdom, Malmö, Sweden 
From the Contact Dermatitis Investigation Unit, University of Manchester Section of Dermatology, Hope Hospital, Salforda; the Disablement Services Centre, Withington Hospital, Manchesterb; and the Department of Occupational and Environmental Dermatology, Universitetssjukhuset, Malmö.c 


Background: Dermatologic problems restrict the normal use of a prosthetic limb. The importance of contact dermatitis to skin morbidity in a population of amputees and the selection criteria for patch testing have not been clearly defined. Objective: We describe the range of dermatoses seen in a population of amputees and examine the incidence, causes, and patterns of contact dermatitis. Methods: This is a questionnaire-based, cross-sectional study of 210 amputees. Those with a skin problem were assessed by a dermatologist. Patch testing was undertaken in patients with persistent dermatitis. Results: A total of 34% of amputees experienced a skin problem. Lesions resulting from friction, pressure, and occlusion are common. Allergic contact dermatitis is seen in a third of patients with stump dermatitis. There are no features that distinguish allergic from irritant (chemical or physical) dermatitis. Conclusion: Dermatologic problems are common in prosthetic limb users. Allergic contact dermatitis is a significant problem, and all patients with dermatitis on the residual limb should be patch tested. (J Am Acad Dermatol 2000;42:501-7.)

The full text of this article is available in PDF format.

 Reprint requests: Michael H. Beck, Contact Dermatitis Investigation Unit, University of Manchester Section of Dermatology, Hope Hospital, Stott, Lane, Salford, M6 8HD, UK.

© 2000  American Academy of Dermatology, Inc. Published by Elsevier Masson SAS@@#104157@@
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