To the Editor.—
In the past several months we had three cases of an acute dermatitis around an ileostomy opening, which did not respond to any of the accepted therapeutic measures. Local medications were constantly washed away by the intestinal juices which kept the irritation active. In one of our patients, this irritation was so severe that the surgeon understandably was reluctant to even close the temporary ileostomy until the skin was healed or at least improved. The problem was solved by topical use of triamcinolone acetonide in an emolient dental paste (Kenalog in Orabase) which stuck to the surface and promoted healing. We are unaware of this preparation previously being used for this purpose.We consider this treatment an additional tool in the management of this stubborn dermatitis.
Fisher BK, Jampolsky NA. CIRCUMILEOSTOMY DERMATITIS. Arch Dermatol. 1971;103(4):463. doi:10.1001/archderm.1971.04000160113025