经皮神经电刺激(TENS)电极延迟性皮肤不良反应。

IF 1.5 Q4 CLINICAL NEUROLOGY
Pain management Pub Date : 2025-10-01 Epub Date: 2025-09-03 DOI:10.1080/17581869.2025.2549238
Mark I Johnson
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引用次数: 0

摘要

一位76岁的女性在复杂肘关节脱位后,在家中使用经皮神经电刺激(TENS)治疗疼痛后,对粘胶垫出现了延迟性过敏反应。本病例强调了对TENS电极垫迟发性超敏反应的可能性。虽然没有进行正式的过敏测试,但该妇女的自我指导观察提供了有价值的见解。临床表现和症状发作的时间更符合过敏性而不是刺激性接触性皮炎。TENS护垫引起的过敏性接触性皮炎通常与粘合材料中的特定过敏原有关。低过敏性替代品旨在通过消除或替代已知的致敏剂来降低这种风险。有趣的是,在手术植入钛板的疼痛手臂上,反应延伸到电极放置之外,而在未受影响的无痛腿上,反应仍然是局部的。这表明局部组织条件可能调节免疫反应。该病例表明临床医生对与TENS治疗相关的潜在皮肤不良事件的认识的重要性,并强调了对患者进行教育的必要性,特别是在独立使用TENS治疗时。进一步研究局部炎症状态和免疫反应性之间的相互作用,可以为更安全的电极设计提供信息,并指导临床安全使用TENS的建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Delayed adverse skin reaction to transcutaneous electrical nerve stimulation (TENS) electrodes.

A 76-year-old woman developed a delayed allergic reaction to adhesive pads following home use of transcutaneous electrical nerve stimulation (TENS) for pain management after a complex elbow dislocation. This case highlights the potential for delayed hypersensitivity reactions to TENS electrode pads. Although formal allergology testing was not performed, the woman's self-directed observations offered valuable insight. The clinical presentation and timing of symptom onset were more consistent with allergic rather than irritant contact dermatitis. Allergic contact dermatitis from TENS pads is often linked to specific allergens in the adhesive materials. Hypoallergenic alternatives aim to reduce this risk by eliminating or substituting known sensitizers. Interestingly, the reaction on the painful arm - where titanium plates had been surgically implanted - extended beyond the electrode placement, whereas on the unaffected, pain-free leg, it remained localized. This suggests that local tissue conditions may modulate the immune response. This case demonstrates the importance of clinician awareness regarding potential dermatological adverse events associated with TENS therapy and emphasizes the need for patient education, particularly when TENS is administered independently. Further investigation into the interaction between local inflammatory states and immune reactivity may inform safer electrode design and guide clinical recommendations for safe TENS use.

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来源期刊
Pain management
Pain management CLINICAL NEUROLOGY-
CiteScore
2.90
自引率
5.90%
发文量
62
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