TY - CHAP M1 - Book, Section TI - Chapter 97. Skin Problems in Ostomates A1 - Lyon, Calum C. A1 - Beck, Michael H. A2 - Goldsmith, Lowell A. A2 - Katz, Stephen I. A2 - Gilchrest, Barbara A. A2 - Paller, Amy S. A2 - Leffell, David J. A2 - Wolff, Klaus PY - 2012 T2 - Fitzpatrick's Dermatology in General Medicine, 8e AB - |PrintSkin Problems in Stoma Patients at a GlancePeristomal skin is chronically occluded and subject to pressure, shearing forces, and fecal/urine soiling. Some skin problems are therefore inevitable.Two-thirds of ostomates develop dermatological problems. Irritant reactions, common skin diseases, and infections are the most common.The occlusion under a stoma appliance can result in unusual clinical appearances of common dermatoses. All rashes should be swabbed to exclude primary or secondary infection.Allergic contact dermatitis is relatively uncommon. Nonetheless patients should be advised to minimize exposure to potential allergens especially fragrances and preservatives.Some dermatoses are commoner than expected around stomas, particularly psoriasis, pyoderma gangrenosum, and lichen sclerosus.Liaison with stoma nurses (ET therapists) and surgeons is essential to provide an effective service for patients with peristomal dermatoses. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/10/14 UR - accessmedicine.mhmedical.com/content.aspx?aid=56052817 ER -