Dealing with Blistering Allergies from Adhesive Patches: What to Do? - Dermatology

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Allergic reaction to adhesive bandages causing blisters?


Hello, doctor.
A few days ago, I felt pain in my shoulder, so I went to the pharmacy and bought some patches to apply.
The next day, I noticed that the area where I applied the patch was swollen, and the following day, I discovered many small blisters (at least a dozen in one area, and currently, there are seven or eight areas affected).
They are very painful, and some of the blisters appear to be darker in color.
Since it is currently a holiday and the dermatology clinic is closed, I would like to know what I should do in this situation.
I was thinking of wrapping the area with gauze; is that advisable since the blisters have not yet burst?

Yun Yun, 20~29 year old female. Ask Date: 2021/06/13

Dr. Wu Yuxin reply Dermatology


It could be an allergy, but since you are in significant pain, I believe the likelihood of shingles is greater.
I recommend that you see a dermatologist as soon as possible.

Reply Date: 2021/06/13

More Info


Dealing with blistering allergies from adhesive patches can be quite uncomfortable and concerning. It sounds like you are experiencing a significant reaction to the adhesive used in the patches, which is not uncommon. Here’s a comprehensive approach to managing your situation based on medical knowledge and best practices.


Immediate Care for Blistering Allergies
1. Remove the Adhesive Patch: The first step is to remove the adhesive patch immediately if you haven't done so already. This will prevent further irritation and allow your skin to begin healing.

2. Clean the Affected Area: Gently wash the area with mild soap and lukewarm water. Avoid scrubbing, as this can aggravate the blisters. Pat the area dry with a clean towel.

3. Avoid Popping the Blisters: It’s crucial not to pop the blisters, as this can lead to infection. The fluid inside the blisters serves as a protective barrier for the underlying skin.

4. Cover the Blisters: If the blisters are intact, you can cover them with a sterile, non-stick bandage or gauze to protect them from further irritation. This can also help keep the area clean. If the blisters are painful, a loose covering is preferable to avoid additional pressure.

5. Use a Cold Compress: To alleviate pain and reduce swelling, you can apply a cold compress to the affected area. Make sure to wrap ice or a cold pack in a cloth to avoid direct contact with the skin.


Topical Treatments
1. Over-the-Counter Creams: You may consider applying a topical corticosteroid cream (like hydrocortisone) to reduce inflammation and itching. However, use it sparingly and only if the area is not broken.

2. Antihistamines: Oral antihistamines (like diphenhydramine or cetirizine) can help alleviate itching and discomfort associated with allergic reactions.

3. Moisturizers: Once the blisters begin to heal, applying a fragrance-free moisturizer can help keep the skin hydrated and promote healing.


Monitoring and Follow-Up
1. Watch for Signs of Infection: Keep an eye on the blisters for any signs of infection, such as increased redness, warmth, swelling, or pus. If you notice these symptoms, it’s essential to seek medical attention promptly.

2. Avoid Future Reactions: If you have a known allergy to adhesives, consider using hypoallergenic patches in the future or consult with a healthcare provider for alternatives.

3. Seek Medical Attention: If the blisters worsen, spread, or if you experience severe pain, fever, or other concerning symptoms, it’s important to seek medical care as soon as possible. Since you mentioned that it is a holiday and dermatology clinics are closed, consider visiting an urgent care center if necessary.


Conclusion
In summary, managing blistering allergies from adhesive patches involves immediate removal of the irritant, careful cleaning, and protective covering of the blisters. Avoid popping them, and monitor for signs of infection. If symptoms persist or worsen, seek medical attention. Remember, prevention is key, so consider alternatives to adhesive patches in the future to avoid similar reactions. Take care, and I hope you find relief soon!

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