Hostname: page-component-75b8448494-spc8s J. Tissue adhesives for traumatic lacerations in children and adults. Cureus. If allergic dermatitis is the diagnosis, avoiding the irritant is the first line of defense. A 36-year-old white woman on postoperative day four. Yagnatovsky M, Pham H, Rokito A, Jazrawi L, Strauss E. Phys Sportsmed. I had a severe allergic reaction to the antiseptic they put all over your abdomen and thighs prior to surgery( Chlorahexadine glucanate). 43, 625627 (2006). However, because n-butyl cyanoacrylate remains a viable option as a topical skin adhesive, the results of this study would be helpful for surgeons planning to use n-butyl cyanoacrylate topical skin adhesive. This report describes a rare case of a diffuse cutaneous allergic reaction to Dermabond following its use to close a surgical incision, its prompt identification, and treatment after presentation to an emergency department. Chi, Daekwan Med. 121 0 obj <> endobj 0000009330 00000 n Topical skin adhesives contained 2-octyl cyanoacrylate (Surgiseal, Adhezion Biomedical, Wyomissing, PA; Dermabond Prineo, Ethicon, Somerville, NJ) or n-butyl cyanoacrylate (LiquiBand, Advanced Medical Solutions, Winsford, UK). Advanced knowledge sharing through global Lefvre S, Valois A, Truchetet F (2016) Allergic contact dermatitis caused by Dermabond (). Sign up for the Nature Briefing newsletter what matters in science, free to your inbox daily. official website and that any information you provide is encrypted Contact Dermatitis. Chen, Alex Abdomen of 63-year-old patient on post-operative day 7 with sudden onset erythema and pruritus surrounding the umbilical, left upper abdominal, left lower abdominal and right lower abdominal 5-mm trocar sites. Ricci JA, Parekh NN, Desai NS. What Causes White Spots to Form on Your Nipple? Durando, D. et al. 0000060962 00000 n Academic Pulmonary Sleep Medicine Physician Opportunity in Scenic Central Pennsylvania, MEDICAL MICROBIOLOGY AND CLINICAL LABORATORY MEDICINE PHYSICIAN, CLINICAL CHEMISTRY LABORATORY MEDICINE PHYSICIAN. hasContentIssue false, Correspondence: Joseph A. Ricci, MD Division of Plastic Surgery Brigham and Women's Hospital 75 Francis Street Boston, Massachusetts 02115 USA E-mail, Copyright World Association for Disaster and Emergency Medicine 2014. 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In this case, antibiotics were continued because the vesicular reaction created open wounds near the silicone implants; secondary infection of the dermatitis would have resulted in loss of the implants. Disclaimer. Kim, Roderick Y. What steps should be taken if a patient experiences a local reaction or hypersensitivity to . 0000047688 00000 n A 63-year-old female presented on post-operative day 7 status post total laparoscopic hysterectomy and bilateral salpingo-oophorectomy with sudden onset erythema and pruritus around all four port site incisions. Surgical site infection should always be considered when evaluating a potential allergic reaction to Dermabond or other skin adhesive. Poore, Samuel O. Dermabond was applied after her subcuticular suture closure. : A Review of the Literature. Delmore, B. et al. 0000001536 00000 n Cochrane Database Syst Rev. (2021). %%EOF and PubMed Therefore, we thought that although females generally develop ACD more often than males, there is no sex difference in ACD that occurs after using 2-octyl cyanoacrylate and n-butyl cyanoacrylate topical skin adhesives. ACD to topical skin adhesives usually presents as a self-limiting urticarial eruption near the incision site and subsides after proper local management. Emerg. Please enable it to take advantage of the complete set of features! Singer AJ, Quinn JV, Hollander JE (2008) The cyanoacrylate topical skin adhesives. It took over three weeks to go away. We explain possible remedies and types. Did you have pelvic pain following your hysterectomy? Surg. Slider with three articles shown per slide. Asahi, Rintaro Rash 101 in adults: When to seek medical treatment. The difference in the incidence of ACD between ingredients or products was analyzed using the chi-square test. 18, 253262 (2003). Plast. 2021GR145), 1167 patients who underwent skin closure with topical skin adhesives in our institution between April 2017 and February 2021 were investigated for study eligibility. As no definite factors related to the development of allergic contact dermatitis to topical skin adhesives are known, the variables that have been suspected to correlate with type IV hypersensitivity were included in the investigation, along with patient characteristics20,21,22. Subsequent dermatologic evaluation confirmed the suspicion of an allergic reaction to Dermabond. Within six hours of receiving steroids, the erythema and pruritis were improved. 2018. Thank you for visiting nature.com. Physical examination of the surgical incision sites revealed that they were all clean dry and intact. 2017 Dec;77(6):414-415. doi: 10.1111/cod.12823. Of note, the patient underwent a tubal ligation one year before this procedure. Although the use of topical skin adhesives has increased as an alternative to conventional skin closure methods, studies on the incidence and risk factors of allergic contact dermatitis (ACD) to topical skin adhesives have been limited. Cochetti, G. et al. However, there has never been a reported case resulting from use during gynaecologic surgery until now. Allergic contact dermatitis to Dermabond - American Academy of Allergy Topical skin adhesives were applied according to the instruction manual of each product. A, Preoperative view of a 36-year-old woman. A DERMABOND product for every procedure PRINEO : The surgeon-preferred alternative to skin staples 4 Combines the proven strength, flexibility, and microbial barrier of DERMABOND ADVANCED with the security of a self-adhering mesh to facilitate skin closure and an optimal healing environment 5-10 See the Innovation & Thode, H. C. Jr. A review of the literature on octylcyanoacrylate tissue adhesive. BMJ Open 6, e009257 (2016). A rash can be an early symptom of a life threatening allergic reaction called anaphylaxis. (2013) Robotically assisted vs laparoscopic hysterectomy among women with benign gynaecologic disease. Careers. The use of 2-octyl cyanoacrylate (Dermabond; Ethicon, Somerville, NJ) for wound closure is increasingly popular. 2020 Nov 1;43(6):e515-e522. Arthur W. Perry, MD, Michael Sosin, Severe Allergic Reaction to Dermabond, Aesthetic Surgery Journal, Volume 29, Issue 4, July 2009, Pages 314316, https://doi.org/10.1016/j.asj.2009.02.019. 2022 Mar-Apr;43(2):103330. doi: 10.1016/j.amjoto.2021.103330. The authors declare no competing interests. HysterSisters.com is a massive online community with over 475,000 members and over 5 million posts. Shim, J. S., Lim, T. K., Koh, K. H. & Lee, D. K. Surgical treatment of congenital hallux varus. Cite this article. Postoperative dressing was performed with povidone-iodine, which was also used for preoperative skin preparation, at intervals of 23days for up to 2weeks after surgery. 120, 14601465 (2007). and 0000013256 00000 n 0000053601 00000 n 0000098813 00000 n All rights reserved. HHS Vulnerability Disclosure, Help Wound complications after 2-octyl skin closure systems for total joint arthroplasty. Surgiseal and LiquiBand were applied to two thin layers with a drying time of 30 to 60s between layers to enable polymerization, and Dermabond Prineo was applied with the same process to a mesh. Anyone ever had allergic reaction to Enjuvia? A., Schwartz, T. A. If the patients presented with a skin eruption that was not visible in ordinary cases, they were referred to a dermatologist for the diagnosis of ACD. Content may require purchase if you do not have access. The substance was used as an industrial adhesive for metal, glass, rubber, and plastics since its introduction and eventually gained popularity in households as Superglue. Uncommonly, patients present with allergic reactions to the adhesive compounds; these allergies are often misdiagnosed as cellulitis or another infectious process, and are incorrectly treated.