Neoprene Orthopaedic Supports: An Underrecognised Cause of Allergic Contact Dermatitis

Thioureas, often contained within neoprene to provide water resistance, are an important cause of allergic contact dermatitis (ACD) in those who use neoprene products. We wish to present three cases of thiourea-induced ACD from three different orthopaedic supports containing neoprene. The first case...

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Main Authors: S. Hawkey, S. Ghaffar
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2015/496790
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author S. Hawkey
S. Ghaffar
author_facet S. Hawkey
S. Ghaffar
author_sort S. Hawkey
collection DOAJ
description Thioureas, often contained within neoprene to provide water resistance, are an important cause of allergic contact dermatitis (ACD) in those who use neoprene products. We wish to present three cases of thiourea-induced ACD from three different orthopaedic supports containing neoprene. The first case was a 67-year-old woman who developed an itchy rash on her heel three weeks after using a neoprene insole for plantar fasciitis. The second case was a 47-year-old man who developed an itchy rash on his wrist after wearing neoprene wrist splints for psoriatic arthropathy. The third case was a 77-year-old woman who experienced a severe erythematous rash with blistering from a neoprene elbow brace she received following a humeral fracture. All patients were patch tested to the British Society of Cutaneous Allergy Standard and rubber series and a cut piece from all the relevant supports. At 96 hours, all patients had a + reaction to mixed dialkylthiourea, diethylthiourea, and the supports’ material. No other positive patch test reactions were identified. As neoprene is fast becoming one of the most popular materials used for orthopaedic supports, awareness of this reaction and close liaison between dermatologists and orthopaedic surgeons are therefore essential to allow for early recognition of this complication.
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spelling doaj-art-108ccf22666d418098fc5d80255229582025-02-03T05:44:39ZengWileyCase Reports in Orthopedics2090-67492090-67572015-01-01201510.1155/2015/496790496790Neoprene Orthopaedic Supports: An Underrecognised Cause of Allergic Contact DermatitisS. Hawkey0S. Ghaffar1Department of Dermatology, Ninewells Hospital & Medical School, University of Dundee, Dundee DD1 9SY, UKDepartment of Dermatology, Ninewells Hospital & Medical School, University of Dundee, Dundee DD1 9SY, UKThioureas, often contained within neoprene to provide water resistance, are an important cause of allergic contact dermatitis (ACD) in those who use neoprene products. We wish to present three cases of thiourea-induced ACD from three different orthopaedic supports containing neoprene. The first case was a 67-year-old woman who developed an itchy rash on her heel three weeks after using a neoprene insole for plantar fasciitis. The second case was a 47-year-old man who developed an itchy rash on his wrist after wearing neoprene wrist splints for psoriatic arthropathy. The third case was a 77-year-old woman who experienced a severe erythematous rash with blistering from a neoprene elbow brace she received following a humeral fracture. All patients were patch tested to the British Society of Cutaneous Allergy Standard and rubber series and a cut piece from all the relevant supports. At 96 hours, all patients had a + reaction to mixed dialkylthiourea, diethylthiourea, and the supports’ material. No other positive patch test reactions were identified. As neoprene is fast becoming one of the most popular materials used for orthopaedic supports, awareness of this reaction and close liaison between dermatologists and orthopaedic surgeons are therefore essential to allow for early recognition of this complication.http://dx.doi.org/10.1155/2015/496790
spellingShingle S. Hawkey
S. Ghaffar
Neoprene Orthopaedic Supports: An Underrecognised Cause of Allergic Contact Dermatitis
Case Reports in Orthopedics
title Neoprene Orthopaedic Supports: An Underrecognised Cause of Allergic Contact Dermatitis
title_full Neoprene Orthopaedic Supports: An Underrecognised Cause of Allergic Contact Dermatitis
title_fullStr Neoprene Orthopaedic Supports: An Underrecognised Cause of Allergic Contact Dermatitis
title_full_unstemmed Neoprene Orthopaedic Supports: An Underrecognised Cause of Allergic Contact Dermatitis
title_short Neoprene Orthopaedic Supports: An Underrecognised Cause of Allergic Contact Dermatitis
title_sort neoprene orthopaedic supports an underrecognised cause of allergic contact dermatitis
url http://dx.doi.org/10.1155/2015/496790
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AT sghaffar neopreneorthopaedicsupportsanunderrecognisedcauseofallergiccontactdermatitis