Allergic contact dermatitis caused by isobornyl acrylate in Freestyle® Libre, a newly introduced glucose sensor
SUMMARY Background Glucose sensors, such as FreeStyle® Libre, are innovative medical devices developed for diabetes patients as a replacement for classic glucose meters, ensuring continuous glucose monitoring without the disadvantage of regular skin finger pricks. Objectives To report several cases...
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| Published in: | Contact dermatitis Vol. 77; no. 6; pp. 367 - 373 |
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| Main Authors: | , , , , , , , , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
Oxford, UK
Blackwell Publishing Ltd
01.12.2017
Wiley Subscription Services, Inc |
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| ISSN: | 0105-1873, 1600-0536, 1600-0536 |
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| Abstract | SUMMARY
Background
Glucose sensors, such as FreeStyle® Libre, are innovative medical devices developed for diabetes patients as a replacement for classic glucose meters, ensuring continuous glucose monitoring without the disadvantage of regular skin finger pricks.
Objectives
To report several cases of allergic contact dermatitis caused by FreeStyle® Libre, and to report on isobornyl acrylate as a culprit allergen.
Patients and Methods
Fifteen patients presented with allergic contact dermatitis caused by FreeStyle® Libre. All but 1 were patch tested with a baseline series, and with pieces and/or ultrasonic bath extracts of (the adhesive part of) the glucose sensor. Isobornyl acrylate was patch tested, in various concentrations and vehicles, in 13 patients. Gas chromatography–mass spectrometry (GC‐MS) of the sensors was performed.
Results
All patients reacted to the adhesive part of the sensor, and 12 patients were shown to be sensitized to isobornyl acrylate. Simultaneous reactions to other allergens were rarely observed. GC‐MS showed the presence of isobornyl acrylate in the sensors.
Conclusions
Cases of allergic contact dermatitis caused by FreeStyle® Libre are increasingly being observed, and isobornyl acrylate is a relevant culprit allergen. Cross‐reactivity to other acrylates was infrequently observed, but other, hitherto unidentified, contact allergens may still be present in the device. |
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| AbstractList | Glucose sensors, such as FreeStyle® Libre, are innovative medical devices developed for diabetes patients as a replacement for classic glucose meters, ensuring continuous glucose monitoring without the disadvantage of regular skin finger pricks.
To report several cases of allergic contact dermatitis caused by FreeStyle® Libre, and to report on isobornyl acrylate as a culprit allergen.
Fifteen patients presented with allergic contact dermatitis caused by FreeStyle® Libre. All but 1 were patch tested with a baseline series, and with pieces and/or ultrasonic bath extracts of (the adhesive part of) the glucose sensor. Isobornyl acrylate was patch tested, in various concentrations and vehicles, in 13 patients. Gas chromatography-mass spectrometry (GC-MS) of the sensors was performed.
All patients reacted to the adhesive part of the sensor, and 12 patients were shown to be sensitized to isobornyl acrylate. Simultaneous reactions to other allergens were rarely observed. GC-MS showed the presence of isobornyl acrylate in the sensors.
Cases of allergic contact dermatitis caused by FreeStyle® Libre are increasingly being observed, and isobornyl acrylate is a relevant culprit allergen. Cross-reactivity to other acrylates was infrequently observed, but other, hitherto unidentified, contact allergens may still be present in the device. SUMMARY Background Glucose sensors, such as FreeStyle Libre, are innovative medical devices developed for diabetes patients as a replacement for classic glucose meters, ensuring continuous glucose monitoring without the disadvantage of regular skin finger pricks. Objectives To report several cases of allergic contact dermatitis caused by FreeStyle Libre, and to report on isobornyl acrylate as a culprit allergen. Patients and Methods Fifteen patients presented with allergic contact dermatitis caused by FreeStyle Libre. All but 1 were patch tested with a baseline series, and with pieces and/or ultrasonic bath extracts of (the adhesive part of) the glucose sensor. Isobornyl acrylate was patch tested, in various concentrations and vehicles, in 13 patients. Gas chromatography-mass spectrometry (GC-MS) of the sensors was performed. Results All patients reacted to the adhesive part of the sensor, and 12 patients were shown to be sensitized to isobornyl acrylate. Simultaneous reactions to other allergens were rarely observed. GC-MS showed the presence of isobornyl acrylate in the sensors. Conclusions Cases of allergic contact dermatitis caused by FreeStyle Libre are increasingly being observed, and isobornyl acrylate is a relevant culprit allergen. Cross-reactivity to other acrylates was infrequently observed, but other, hitherto unidentified, contact allergens may still be present in the device. Glucose sensors, such as FreeStyle® Libre, are innovative medical devices developed for diabetes patients as a replacement for classic glucose meters, ensuring continuous glucose monitoring without the disadvantage of regular skin finger pricks.BACKGROUNDGlucose sensors, such as FreeStyle® Libre, are innovative medical devices developed for diabetes patients as a replacement for classic glucose meters, ensuring continuous glucose monitoring without the disadvantage of regular skin finger pricks.To report several cases of allergic contact dermatitis caused by FreeStyle® Libre, and to report on isobornyl acrylate as a culprit allergen.OBJECTIVESTo report several cases of allergic contact dermatitis caused by FreeStyle® Libre, and to report on isobornyl acrylate as a culprit allergen.Fifteen patients presented with allergic contact dermatitis caused by FreeStyle® Libre. All but 1 were patch tested with a baseline series, and with pieces and/or ultrasonic bath extracts of (the adhesive part of) the glucose sensor. Isobornyl acrylate was patch tested, in various concentrations and vehicles, in 13 patients. Gas chromatography-mass spectrometry (GC-MS) of the sensors was performed.PATIENTS AND METHODSFifteen patients presented with allergic contact dermatitis caused by FreeStyle® Libre. All but 1 were patch tested with a baseline series, and with pieces and/or ultrasonic bath extracts of (the adhesive part of) the glucose sensor. Isobornyl acrylate was patch tested, in various concentrations and vehicles, in 13 patients. Gas chromatography-mass spectrometry (GC-MS) of the sensors was performed.All patients reacted to the adhesive part of the sensor, and 12 patients were shown to be sensitized to isobornyl acrylate. Simultaneous reactions to other allergens were rarely observed. GC-MS showed the presence of isobornyl acrylate in the sensors.RESULTSAll patients reacted to the adhesive part of the sensor, and 12 patients were shown to be sensitized to isobornyl acrylate. Simultaneous reactions to other allergens were rarely observed. GC-MS showed the presence of isobornyl acrylate in the sensors.Cases of allergic contact dermatitis caused by FreeStyle® Libre are increasingly being observed, and isobornyl acrylate is a relevant culprit allergen. Cross-reactivity to other acrylates was infrequently observed, but other, hitherto unidentified, contact allergens may still be present in the device.CONCLUSIONSCases of allergic contact dermatitis caused by FreeStyle® Libre are increasingly being observed, and isobornyl acrylate is a relevant culprit allergen. Cross-reactivity to other acrylates was infrequently observed, but other, hitherto unidentified, contact allergens may still be present in the device. Background: Glucose sensors, such as FreeStyle® Libre, are innovative medical devices developed for diabetes patients as a replacement for classic glucose meters, ensuring continuous glucose monitoring without the disadvantage of regular skin finger pricks. Objectives: To report several cases of allergic contact dermatitis caused by FreeStyle® Libre, and to report on isobornyl acrylate as a culprit allergen. Patients and Methods: Fifteen patients presented with allergic contact dermatitis caused by FreeStyle® Libre. All but 1 were patch tested with a baseline series, and with pieces and/or ultrasonic bath extracts of (the adhesive part of) the glucose sensor. Isobornyl acrylate was patch tested, in various concentrations and vehicles, in 13 patients. Gas chromatography–mass spectrometry (GC-MS) of the sensors was performed. Results: All patients reacted to the adhesive part of the sensor, and 12 patients were shown to be sensitized to isobornyl acrylate. Simultaneous reactions to other allergens were rarely observed. GC-MS showed the presence of isobornyl acrylate in the sensors. Conclusions: Cases of allergic contact dermatitis caused by FreeStyle® Libre are increasingly being observed, and isobornyl acrylate is a relevant culprit allergen. Cross-reactivity to other acrylates was infrequently observed, but other, hitherto unidentified, contact allergens may still be present in the device. SUMMARY Background Glucose sensors, such as FreeStyle® Libre, are innovative medical devices developed for diabetes patients as a replacement for classic glucose meters, ensuring continuous glucose monitoring without the disadvantage of regular skin finger pricks. Objectives To report several cases of allergic contact dermatitis caused by FreeStyle® Libre, and to report on isobornyl acrylate as a culprit allergen. Patients and Methods Fifteen patients presented with allergic contact dermatitis caused by FreeStyle® Libre. All but 1 were patch tested with a baseline series, and with pieces and/or ultrasonic bath extracts of (the adhesive part of) the glucose sensor. Isobornyl acrylate was patch tested, in various concentrations and vehicles, in 13 patients. Gas chromatography–mass spectrometry (GC‐MS) of the sensors was performed. Results All patients reacted to the adhesive part of the sensor, and 12 patients were shown to be sensitized to isobornyl acrylate. Simultaneous reactions to other allergens were rarely observed. GC‐MS showed the presence of isobornyl acrylate in the sensors. Conclusions Cases of allergic contact dermatitis caused by FreeStyle® Libre are increasingly being observed, and isobornyl acrylate is a relevant culprit allergen. Cross‐reactivity to other acrylates was infrequently observed, but other, hitherto unidentified, contact allergens may still be present in the device. |
| Author | Aerts, Olivier Herman, Anne Baeck, Marie De Block, Christophe Hamnerius, Nils Maiter, Dominique Tennstedt, Dominique Goossens, An Vandeleene, Bernard Huygens, Sara Bruze, Magnus Mowitz, Martin |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/28804907$$D View this record in MEDLINE/PubMed |
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| Keywords | CAS no. 5888-33-5 glucose sensor allergic contact dermatitis isobornyl acrylate FreeStyle® Libre acrylates mass spectrometry diabetes mellitus adhesive gas chromatography medical device sesquiterpene lactone mix |
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| References_xml | – volume: 3 start-page: 133 year: 1992 end-page: 137 article-title: Patch testing with ultrasonic batch extracts publication-title: Am J Contact Dermat – volume: 73 start-page: 195 year: 2015 end-page: 221 article-title: European Society of Contact Dermatitis guideline for diagnostic patch testing – recommendations on best practice publication-title: Contact Dermatitis – volume: 58 start-page: 340 year: 2008 end-page: 346 article-title: Occupational methacrylate and acrylate allergy from glues publication-title: Contact Dermatitis – volume: 35 start-page: 115 year: 2016 end-page: 119 article-title: Isobornyl acrylate: an impurity in alkyl glucosides publication-title: Cutan Ocul Toxicol – volume: 33 start-page: 205 year: 1995 end-page: 206 article-title: Contact allergy to components of glue in insulin pump infusion sets publication-title: Contact Dermatitis – volume: 69 start-page: 379 year: 2013 end-page: 381 article-title: Allergic contact dermatitis caused by self‐adhesive electrocardiography electrodes in an infant publication-title: Contact Dermatitis – volume: 151 start-page: 263 year: 2007 end-page: 266 article-title: Occurrence of adverse events due to continuous glucose monitoring publication-title: Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub – volume: 69 start-page: 86 year: 2013 end-page: 92 article-title: Two decades of occupational (meth) acrylate patch test results and focus on isobornyl acrylate publication-title: Contact Dermatitis – volume: 33 start-page: 84 year: 1995 end-page: 89 article-title: Occupational allergic contact dermatitis from 2‐hydroxyethyl methacrylate and ethylene glycol dimethacrylate in a modified acrylic structural adhesive publication-title: Contact Dermatitis – volume: 18 start-page: 10 year: 1988 end-page: 15 article-title: Sensitization to patch test acrylates publication-title: Contact Dermatitis – volume: 74 start-page: 124 year: 2016 end-page: 125 article-title: Sensitization to cyanoacrylates caused by prolonged exposure to a glucose sensor set in a diabetic child publication-title: Contact Dermatitis |
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Background
Glucose sensors, such as FreeStyle® Libre, are innovative medical devices developed for diabetes patients as a replacement for classic... Glucose sensors, such as FreeStyle® Libre, are innovative medical devices developed for diabetes patients as a replacement for classic glucose meters, ensuring... SUMMARY Background Glucose sensors, such as FreeStyle Libre, are innovative medical devices developed for diabetes patients as a replacement for classic... Background: Glucose sensors, such as FreeStyle® Libre, are innovative medical devices developed for diabetes patients as a replacement for classic glucose... |
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| SubjectTerms | acrylates Acrylates - administration & dosage Acrylates - adverse effects adhesive Adhesives Administration, Cutaneous Allergens allergic contact dermatitis Allergies Blood Glucose - analysis Blood Glucose Self-Monitoring - adverse effects Blood Glucose Self-Monitoring - instrumentation Bornanes - administration & dosage Bornanes - adverse effects CAS no. 5888‐33‐5 Clinical Medicine Contact dermatitis Cross-reactivity Dermatitis Dermatitis, Allergic Contact - etiology Dermatologi och venereologi Dermatology and Venereal Diseases Diabetes mellitus Diabetes Mellitus, Type 1 - blood Diabetes Mellitus, Type 2 - blood Eczema FreeStyle® Libre Gas chromatography Gas Chromatography-Mass Spectrometry Glucose Glucose monitoring glucose sensor Humans isobornyl acrylate Klinisk medicin mass spectrometry Mass spectroscopy Medical and Health Sciences medical device Medical equipment Medical innovations Medicin och hälsovetenskap Sensors sesquiterpene lactone mix Skin |
| Title | Allergic contact dermatitis caused by isobornyl acrylate in Freestyle® Libre, a newly introduced glucose sensor |
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