Patterns of use of topical skin adhesives in the emergency department. the suspicion of an allergic reaction to Dermabond and recommended application of a thin topical layer of hydrocortisone 1% to affected areas 2-4 times per day. It. endstream endobj 122 0 obj <>>>/Lang(en-US)/Metadata 119 0 R/Names 123 0 R/Outlines 94 0 R/Pages 118 0 R/Type/Catalog/ViewerPreferences<>>> endobj 123 0 obj <> endobj 124 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]/XObject<>>>/Rotate 0/Tabs/W/Thumb 113 0 R/TrimBox[0.0 0.0 595.276 841.89]/Type/Page>> endobj 125 0 obj [126 0 R] endobj 126 0 obj <>/Border[0 0 0]/H/N/Rect[445.858 120.461 538.761 109.669]/Subtype/Link/Type/Annot>> endobj 127 0 obj <> endobj 128 0 obj <> endobj 129 0 obj [/ICCBased 153 0 R] endobj 130 0 obj <> endobj 131 0 obj <> endobj 132 0 obj <> endobj 133 0 obj <> endobj 134 0 obj <>stream Foot Ankle Int. If a superficial wound infection was suspected, oral antibiotics were administered. Table 1. Cite this article. 0000056163 00000 n Am. 2002. Thank you for visiting nature.com. After approval from the local ethics committee (Korea University Guro Hospital Institutional Review Board, No. Of the 1145 patients included in the study, 32 (2.8%) patients were referred to dermatologists for suspected ACD after the use of a topical skin adhesive in the foot and ankle surgery, and 29 (2.5%) patients were diagnosed with ACD. Objective: To investigate the clinical characteristics of patients with ACD caused by Dermabond application. Allergic reaction to Dermabond in gynaecologic surgery - OAText Hysterectomy Recovery (post hysterectomy) . One-Stage Augmentation Mastopexy: A Review of 1192 Simultaneous Breast Augmentation and Mastopexy Procedures in 615 Consecutive Patients. Clipboard, Search History, and several other advanced features are temporarily unavailable. 8 Days Post Hysterectomy Allergic Reaction to Dermabond - Help. Please enable it to take advantage of the complete set of features! Use of cyanoacrylates for adhesive applications dates to their initial synthesis and patent in 1949 [8]. European Society of Contact Dermatitis guideline for diagnostic patch testing - recommendations on best practice. HHS Vulnerability Disclosure, Help Hysterectomy Recovery (post hysterectomy), HysterSisters Takes On Partner To Manage Continued Growth And Longevity. 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. Diffuse Cutaneous Allergic Reaction to Dermabond, Division of Plastic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MassachusettsUSA, Department of Physical Medicine and Rehabilitation, Thomas Jefferson University Hospital, Philadelphia, PennsylvaniaUSA, Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MassachusettsUSA, https://doi.org/10.1017/S1049023X14001010, Get access to the full version of this content by using one of the access options below. : A Review of the Literature. Ther. Parkerson, Jamie Accessibility 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. 2021 Mar 24;13(3):e14090. and transmitted securely. Immunol. B, Two months after breast augmentation/mastopexy and resolution of her allergic reaction to Dermabond. Work as a cosmetician with regular exposure to cyanoacrylate-based eyelash extension glue has also been linked to occupational asthma and allergic rhinitis [27]. Does DERMABOND PRINEO System cause any allergic reactions? Her incisions were closed with Dermabond. Expeditious removal of the offending agent is critical to the resolution of symptoms, but care must be taken to not open the incision(s). However, in some patients, it mimics postoperative infection, causes severe local or systemic reactions, and eventually, cosmetic sequelae17. While we dont know how many people will experience a rash after surgery, people who have previously had contact dermatitis may have a higher chance of having a similar reaction after surgery. 0000010011 00000 n Med. Krishnan, R., MacNeil, S. D. & Malvankar-Mehta, M. S. Comparing sutures versus staples for skin closure after orthopaedic surgery: systematic review and meta-analysis. Although cyanoacrylates traditionally have been associated with low rates of sensitization, allergic contact dermatitis (ACD) to Dermabond products is being increasingly reported after. View all Google Scholar citations PubMedGoogle Scholar. 0000053601 00000 n Except for Nakagawa et al., our incidence of 2.7% is somewhat higher than the previously reported incidence, but studies to date alone cannot clarify whether this is due to the difference in application site or patient demographics. Medicine 99, e20573 (2020). https://doi.org/10.1002/14651858.CD003326/epdf/full. Her reaction is improved; the sutures were removed without incident on that same day. 2021. and JavaScript. A severe allergic reaction can be seen; erythema and pruritis are both present along the incisions where Dermabond was applied. 2022. doi: 10.7759/cureus.14090. In short, jock itch can spread between, Keloids can appear on your ear in response to any type of wound, including a piercing. Epub 2017 Jan 25. government site. Last medically reviewed on August 30, 2021. Nine patients had positive patch test results to Dermabond; six had developed secondary generalization.The mean time between Dermabond application and ACD onset was 34 days (range, 27-44) in six patients with ACD after the first use, whereas, in the other three patients, it was 5.6 days (range, 4-8) after the second use. Dermabond was applied after her subcuticular suture closure. Gearhart, Peter A. The exclusion criteria included age<18years, inflammatory disease (e.g., rheumatoid arthritis or psoriatic arthritis), active infection in the area of incision prior to surgery, or follow-up of less than 6weeks. JAMA Surg. Surgical site infection should always be considered when evaluating a potential allergic reaction to Dermabond or other skin adhesive. ANZ J. Surg. Surg. The Bactrim DS was continued for one week because of the broken skin and the danger of superinfection. HtV6}7Rno[o6HRvZJ\$*^${gg.`6{u~ujH`:vAUwK,7uXFqv?/#d3/~(8oVI#KG :8;+HjQ Dermabond is not used on areas such as the eyes and mouth.