She's doing fine with the CPAP therapy now. Without the cloth mask, She was continually getting perioral dermatitis (a rash around the mouth), and a rash anywhere the silicone oxygen tube touched her skin.

To eliminate the silicone, she also had to change out the nose pads on her glasses with polycarbonate pads, and remove her IUD. If someone has a silicone allergy (and it's real, not imagined - we've done several challenge / response trials with silicone for her), they really need to get rid of any exposure.

Her response is interesting: it starts with a rash (no anaphylaxis), and then all of her joints swell up. For her, it triggers an autoimmune response that only goes away with Prednisone.

I am interested in your wife's experience with the cloth mask. My daughter had tried one (Don't know which) but went back to her regular mask. Reviews I have read mentioned that the cloth masks were a hassle to position and leaks were a continuing problem. I may need to take a look at the one (SleepWeaver Anew) your wife is using. I did find relief from my allergy with the AirTouch, which has the memory foam welded to the silicone so the silicone doesn't come in contact with my face. It sounds like your wife's silicone allergy is worse than mine, so the AirTouch likely would not work well for her. I am interested in where you found the polycarbonate eyeglass pads. I had to switch to plastic frames because of my silicone allergy but much prefer the frames with the nose pads that elevate the glasses away from the face. I hadn't been able to find any alternative to the silicone eyeglass nosepads so I would appreciate information on the polycarbonate pads. Thank you!

Positioning can be tricky, but we were able to get it to work without too many leaks.

As for the polycarbonate nose pads, I'm not sure where we got them from, but there are some links if you do a search for "eyeglass nose pads polycarbonate".