Dermatitis may affect a stoma for a number of reasons. A severe dermatitis can cause significant problems for the patient. Control of the dermatitis usually requires identification of the cause(s).


Causes of a local dermatitis related to the stoma environement:

(1) irritant dermatitis

(1a) from something in the feces (hot peppers, etc)

(1b) from chemicals in stoma care products

(2) mechanical irritation, especially if the skin is moist and macerated

(3) allergic contact dermatitis

(3a) food allergy

(3b) allergy to stoma care products, including fragrances

(3c) allergy to materials used to cover the stoma (adhesives, etc)

(3d) allergens on the hands when providing stoma care (poison ivy, etc)

(4) HPV-related papillomatous dermatitis


A systemic dermatitis that may also affect the peristomal stomal skin:

(1) seborrheic dermatitis

(2) psoriasis


In general it is important to:

(1) keep the stoma clean and dry

(2) minimize mechanical irritation

(3) adapt the diet to minimize problems

(4) learn the contents of all products used on or around the stoma

(5) consider patch testing to identify possible allergens

(6) identify changes in care that trigger problems


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