RT Book, Section
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
SR Print(0)
ID 56052817
T1 Chapter 97. Skin Problems in Ostomates
T2 Fitzpatrick's Dermatology in General Medicine, 8e
YR 2012
FD 2012
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-166904-7
LK accessmedicine.mhmedical.com/content.aspx?aid=56052817
RD 2024/10/07
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.