I consulted Jonathan Silverberg, MD, PhD, MPH, Director of the Contact Dermatitis Clinic at Northwestern Memorial Hospital and Associate Professor, Departments of Dermatology, Preventive Medicine and Medical Social Sciences at Northwestern University Feinberg School of Medicine. Dr. Silverberg suggested the following approaches:
1. Use of triamcinolone (or more potent) spray that can be applied preemptively on a daily or every other day basis depending on how long the adhesive will be used and how frequently the adhesive will be changed.
2. Patch testing to commercially available adhesive allergens and/or specific adhesives of interest can be done with Finn Chamber and Telfa, though the patient could react even to the Telfa.
3. Open test to commercially available adhesive allergens and/or specific adhesives of interest can also be done if one is really concerned about irritant or allergic reactions to the tape.
Dr. Silverberg went on to state that none of these suggestions are mutually exclusive. I hope that this information is of help to you.
Jacqueline A. Pongracic, MD, FAAAAI