Persistent Skin Reactions and Aluminium Hypersensitivity Induced by Childhood Vaccines

Acta Derm Venereol. 2016 Nov 2;96(7):967-971. doi: 10.2340/00015555-2432.

Abstract

There is increasing awareness of reactions to vaccination that include persistent skin reactions. We present here a retrospective investigation of long-lasting skin reactions and aluminium hypersensitivity in children, based on medical records and questionnaires sent to the parents. In the 10-year period 2003 to 2013 we identified 47 children with persistent skin reactions caused by childhood vaccinations. Most patients had a typical presentation of persisting pruritic subcutaneous nodules. Five children had a complex diagnostic process involving paediatricians, orthopaedics and plastic surgeons. Two patients had skin biopsies performed from their skin lesions, and 2 patients had the nodules surgically removed. Forty-two children had a patch-test performed with 2% aluminium chloride hexahydrate in petrolatum and 39 of them (92%) had a positive reaction. The persistent skin reactions were treated with potent topical corticosteroids and disappeared slowly. Although we advised families to continue vaccination of their children, one-third of parents omitted or postponed further vaccinations.

MeSH terms

  • Aluminum / administration & dosage
  • Aluminum / adverse effects*
  • Aluminum / immunology
  • Biopsy
  • Child
  • Child, Preschool
  • Denmark
  • Female
  • Humans
  • Hypersensitivity / etiology*
  • Infant
  • Male
  • Patch Tests
  • Retrospective Studies
  • Vaccination / adverse effects*

Substances

  • Aluminum