Childhood Diseases

Question
Posted by: Peta | 2011-06-28

Q.

Silicone Allergy?

Hi Dr
Tayden has not had his mic key in for less than a month and once again, we are plagued by infection after infection, with the skin around the stoma looking horrendous.

It is red, inflammed, the stoma is oozing gunk and a puslike substance, it is raised around the stoma and angry looking.

We have tried everything known to man both now and in the 17 months that he had a mic key before. Treatment at the moment includes augmentin, fuscidin H, losec x 2 per day, gaviscon 1ml x4 a day, gaviscon on the skin x 2 per day, cavilon /calivon, bactroban, gensen violet and another type of cortisone cream as prescribed by the paed.

i have also used those special plasters that contain silver in them that are meant to promote healing and they havent done a thing.

My son has a bad reaction when we use plasters on him, in fact the only type of plaster we can use on him (and he still gets a rash) is micropore. With everything else he comes out in a raised rash, itches etc.

do you think it is a possibility that he has an intolerance / allergy for the silicone in the mic key?

He does have a sensitive skin and a history of a life threatening dairy allergy with anaphylaxis (outgrown thank goodness) but perhaps this makes him an allergic child?

I am perhaps clutching at straws here but am eager to see what you think.

Thanking you in advance.
Peta

Expert's Reply

A.

Paediatrician

I am really sorry to read that Tayden is having such a bad time again.Silicone allergy is extremely rare and if there is indeed a reaction to silicone this is usually due to an additive in the silicone such as a latex product or a plasticiser.Allergy to Elastoplast is very common and the only plaster that he will be able to tolerate is Micropore.He certainly will not be able to tolerate the silver plasters.With his history of severe milk allergy previously there is no doubt that he is an allergic child.If you are still in Cape Town it would be a good idea to ask a paediatric allergist to see him. I can highly recommend Dr Claudia Gray at the Vincent Pallotti Medical Centre. She also does sessions at the Red Cross Children's Hospital and would also be able to see Tayden there.You should speak to her as soon as possible.

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