The authors declare no competing interests. The use of 2-octyl cyanoacrylate (Dermabond; Ethicon, Somerville, NJ) for wound closure is increasingly popular. Lin, M., Coates, W. C. & Lewis, R. J. Tissue adhesive skills study: The physician learning curve. Contact Dermatitis. Emerg. HysterSisters.com is a patient support website and does not intend to take the place of the relationship between patient and personal physician. Krishnan, R., MacNeil, S. D. & Malvankar-Mehta, M. S. Comparing sutures versus staples for skin closure after orthopaedic surgery: systematic review and meta-analysis. Her incisions were closed with Dermabond. Shanmugam S, Wilkinson M (2012) Allergic contact dermatitis caused by a cyanoacrylate-containing false eyelash glue. J.S.C. Singer AJ, Quinn JV, Hollander JE (2008) The cyanoacrylate topical skin adhesives. Aliment. 0000098813 00000 n View all Google Scholar citations I had an allergic reaction to dermabond after surgery - JustAnswer These materials can irritate the skin or cause an allergic reaction in some people. 2022 Copyright OAT. Spauwen, P. H., de Laat, W. A. The clinical characteristics of patients with allergic contact dermatitis (ACD) due to a skin adhesive containing 2-octyl cyanoacrylate, Dermabond, have not yet been elucidated. Thakkar, Punam G. Skin hypersensitivity following application of tissue adhesive (2-octyl cyanoacrylate). 0000010096 00000 n 2021. ISSN 2045-2322 (online). Therefore, we believe that the presence or absence of a patch test would not have significantly affected the results of the study. PMC J. Arthroplasty 32, 37423747 (2017). Physical examination of the surgical incision sites revealed that they were all clean dry and intact. Post-surgical contact dermatitis is a localized rash that is almost always a reaction to something that came into contact with your skin. Google Scholar. Results: The time was significantly different between the two groups (P < .01). Allergic Contact Dermatitis to Dermabond Prineo After Elective A thin layer of Dermabond remained in place on the epidermis and an erythematous raised wheal with a radius of 1-3cm surrounded each incision (Figure 2). Google Scholar. Nigro, Lauren C. I also found that taking liquid Benedryl before bed really helped too. The material is rapidly converted from a liquid to a solid state via polymerization at room temperature without the need for a catalyst, evaporation of a solvent or application of pressure [5]. Immunol. Learn about hysterectomy types and diagnosis. Additional components of Dermabond include plasticizers that aid in the flexibility of the wound during the healing process, stabilizers to prolong the shelf life, and polymerization inhibitors to delay the transition of the product from liquid to solid.2 The polymer hydrolyzes in the body, creating formaldehyde, which causes inflammation. 18, 1927 (2004). Farmer, Rebecca L. Its a good idea to let your doctor know if you develop a rash after surgery. Patch Testing Ingredients of Dermabond and Other Cyanoacrylate-Containing Adhesives. We aim to bring about a change in modern A comparison of three methods of skin closure following repair of Achilles tendon rupture. Your doctor should be notified of any symptoms of infection, so treatment can begin immediately. Generally, very few complications are associated with Dermabond and are usually related to application techniques. She was unable to see the surgeon on that day. If you find something abusive or that does not comply with our terms or guidelines please flag it as inappropriate. Disclaimer. The adhesive property of the compound methyl 2-cyanoacrylate was first described in the literature by H.W. Aesthet Surg J. 18, 253262 (2003). Davis M, Stuart M. Severe allergic dermatitis to dermabond prineo, a topical skin adhesive of 2-octyl cyanoacrylate increasingly used in surgeries to close wounds. Problems with Dermabond are mostly related to application technique. 2021 Jun 15;34(6):736-738. doi: 10.1080/08998280.2021.1935140. She received perioperative cefazolin, and the implants were bathed in bacitracin. Published online by Cambridge University Press: Osmond, M. H., Quinn, J. V., Sutcliffe, T., Jarmuske, M. & Klassen, T. P. A randomized, clinical trial comparing butylcyanoacrylate with octylcyanoacrylate in the management of selected pediatric facial lacerations. Manuscript. Am. Allergic contact dermatitis to dermabond (2-octyl cyanoacrylate) after total knee arthroplasty. Peiser, M. et al. Skin inflammation and pruritus abated completely within 2 days. Durando, D. et al. official website and that any information you provide is encrypted PubMedGoogle Scholar. But is jock itch contagious? 187, 238248 (2004). MeSH Dermatitis 25, 99100 (2014). 0000004792 00000 n If things get worse, tell your doctor - and also if your symptoms haven't subsided after 3 weeks. publishing polices. Mr. Sosin has no financial interest in and receives no compensation from manufacturers of products mentioned in this article. Allergic reaction to Dermabond in gynaecologic surgery - OAText Variables suspected to correlate with ACD were retrieved from medical records and analyzed to determine risk factors. Jacoby, Sidney M. 0000010468 00000 n 1996 Jun;7(2):109-15. It is a liquid that doctors apply on small wounds and skin surfaces to securely hold the edges together. Comparison of 2-octyl cyanoacrylate topical skin adhesive and simple interrupted nylon sutures for wound closure in ankle fracture surgery. What steps should be taken if a patient experiences a local reaction or hypersensitivity to . 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. 0000000016 00000 n Sci. The use of Dermabond as the first choice for closing surgical wounds will only increase with the increasing number of gynaecologic surgeries being performed robotically and laparoscopically. The AADA also says that a patch test can be done to determine if the rash is allergic contact dermatitis. 0000015201 00000 n Eczema types: Contact dermatitis diagnosis and treatment. & Pawlik, T. M. STROBE reporting guidelines for observational studies. Treatment for contact dermatitis is generally very simple. 0000008607 00000 n 0000001536 00000 n 2017 Dec;77(6):414-415. doi: 10.1111/cod.12823. The purpose of this study was to investigate the incidence and risk factors of ACD after the use of 2-octyl cyanoacrylate and n-butyl cyanoacrylate topical skin adhesives. Clipboard, Search History, and several other advanced features are temporarily unavailable. Has data issue: false sharing sensitive information, make sure youre on a federal If a superficial wound infection was suspected, oral antibiotics were administered. After approval from the local ethics committee (Korea University Guro Hospital Institutional Review Board, No. Learn the signs and symptoms of latex allergies and how you can limit, Sunspots, sometimes called liver spots, are very common. 2014. Glob. Bowen, C, Bidinger J, Hivnor C, Hoover A, Henning J (2014) Allergic contact dermatitis to 2-Octyl cyanoacrylate. 0000053193 00000 n Unlike 2-octyl cyanoacrylate, to the best of our knowledge, there has been no study on the incidence of ACD in n-butyl cyanoacrylate topical skin adhesives. White, Andrew A. Internet Explorer). 8 Days Post Hysterectomy Allergic Reaction to Dermabond - Help Nakagawa, Shiho } 2009 Jul-Aug;29(4):314-6. doi: 10.1016/j.asj.2009.02.019. HysterSisters.com is a massive online community with over 475,000 members and over 5 million posts. An area where the Dermabond had dripped on the lateral side of her breast was also erythematous. 2-octyl cyanoacrylate; Dermabond; allergic contact dermatitis; ethyl cyanoacrylate; gel nails, (meth)acrylate; tissue adhesive. The increased prevalence of keloids in atopic dermatitis patients with allergic comorbidities: a nationwide retrospective cohort study, Prospective, comparative clinical pilot study of cold atmospheric plasma device in the treatment of atopic dermatitis, Quality of life and therapeutic regimen management in onychomycosis patients and in vitro study of antiseptic solutions, Meta-analysis of the efficacy of preoperative skin preparation with alcoholic chlorhexidine compared to povidone iodine in orthopedic surgery, Phase 1 safety trial of a natural product cocktail with antibacterial activity in human volunteers, Topical administration of EGF suppresses immune response and protects skin barrier in DNCB-induced atopic dermatitis in NC/Nga mice, Bacterial sensitivity to chlorhexidine and povidone-iodine antiseptics over time: a systematic review and meta-analysis of human-derived data, http://creativecommons.org/licenses/by/4.0/, Contact Dermatitis in the Inpatient Hospital Settingan Updated Review of the Literature. scholarly communications through the effective use of editorial and Her reaction is improved; the sutures were removed without incident on that same day. endstream endobj 135 0 obj <>stream The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Medication for eczema and dermatitis. Cochrane Database Syst Rev. Csections in 2010 & 2015-had reaction to dermabond after 2010 c section. Dermabond is a skin adhesive used to close wounds, according to FamilyDoctor.org 2. Clin. (2013) Robotically assisted vs laparoscopic hysterectomy among women with benign gynaecologic disease. In vivo study of wound bursting strength and compliance of topical skin adhesives. 156, 577578 (2021). Reducing postsurgical wound complications: A critical review. Therefore, this study aimed to investigate the incidence of ACD after the use of 2-octyl cyanoacrylate and n-butyl cyanoacrylate topical skin adhesives and to determine whether there are any risk factors for their occurrence. and Of note, the patient underwent a tubal ligation one year before this procedure. The site is secure. Rash After Surgery: Causes, Diagnosis, Treatment, and When to Worry Dermabond allergy is a rare event, but one that needs to be recognized and treated promptly. 8600 Rockville Pike 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 Cochrane Database Syst Rev. Intraoperatively, Veress needle entry was made into the abdominal cavity and a 5 mm trocar with scope was placed to visualize the abdominal cavity. The rash should go away completely within a few weeks. 0000007745 00000 n Sharma, A. et al. Objective: It was so itchy! Academic Pulmonary Sleep Medicine Physician Opportunity in Scenic Central Pennsylvania, MEDICAL MICROBIOLOGY AND CLINICAL LABORATORY MEDICINE PHYSICIAN, CLINICAL CHEMISTRY LABORATORY MEDICINE PHYSICIAN. 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. Chalmers et al.17 investigated 6008 patients who used 2-octyl cyanoacrylate topical skin adhesive for elective orthopedic surgery and reported an incidence 0.5% of ACD. Injury 49, 19421946 (2018). Dermatitis 2016; 27 (2):75. Hamilton, Canada. Sachse MM, Junghans T, Rose C, Wagner G (2013) Allergic contact dermatitis caused by topical 2-octyl-cyanoacrylate. Contact Dermatitis. Patricia McNally, MD, FAAAAI. The next morning, with worsening erythema and itching, she was seen in the emergency room by the surgeon. Michalowitz, A., Comrie, R., Nicholas, C., Wagner, M. & Kehoe, J. Acad. 0000031623 00000 n Glennie, R. A., Korczak, A., Naudie, D. D., Bryant, D. M. & Howard, J. L. MONOCRYL and DERMABOND vs staples in total hip arthroplasty performed through a lateral skin incision: A randomized controlled trial using a patient-centered assessment tool. 2021. Treatment is simple and most cases will resolve within a few weeks. Similarly, when we analyzed the incidence of ACD in patients without risk factors for type IV hypersensitivity, as suggested in previous studies, the incidence of ACD was 2.5% (15/590) in 2-octyl cyanoacrylate and 2.2% (6/279) in n-butyl cyanoacrylate. Open 6, e1841 (2018). J. Vasc. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Park, Y. H., Chang, A. S., Choi, G. W. & Kim, H. J. All the study protocol were conducted in accordance with the relevant guidelines and regulations (STROBE guidelines)18. Fam. Skin patch testing can be utilized to confirm clinical suspicion for an allergic reaction to Dermabond. Caton AM, Dauphine C (2014) Allergic contact dermatitis after repeated exposure to Dermabond. Call 911 if you have: Simple home and over-the-counter (OTC) treatments can treat contact dermatitis as well. Skin patch testing performed three years after initial presentation was positive for ethyl cyanoacrylate. 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. i``5b@ k I have hypothyroidism and take armour and metformin . Radiol. 2002. The dermatologist made recommendation to apply a thin topical layer of hydrocortisone 1% to affected areas two to four times per day. 120, 14601465 (2007). Department of Orthopedic Surgery, Korea University Guro Hospital, 148 Gurodong-ro, Guro-gu, Seoul, 08308, Republic of Korea, Young Hwan Park,Jeong Seok Choi,Jung Woo Choi&Hak Jun Kim, You can also search for this author in Elzomor, Amir This relationship ended in 2005. Methods: ), who has not used Dermabond since. 0000017967 00000 n Mc Donald BS, Buckley DA (2014) Severe dermatitis from Dermabond surgical glue. Chen, Alex Rao, Venkat K. Wound closure with 2-octyl cyanoacrylate (Dermabond; Ethicon, Somerville, New Jersey USA) has recently increased in popularity across a wide spectrum of physicians ranging from surgeons to emergency medicine practitioners. The authors describe the first case series of ACD to Dermabond Prineo where patch testing confirmed the diagnosis in all patients. : study design and supervision. Use the Previous and Next buttons to navigate the slides or the slide controller buttons at the end to navigate through each slide. Coover HW, Joyner FB, Shearer NH, Wicker TH (1959) Chemistry and performance of cyanoacrylate adhesives. She was afebrile and looked well. Would you like email updates of new search results? aaaai.org/conditions-treatments/allergies/anaphylaxis, nyulangone.org/conditions/eczema-dermatitis/treatments/at-home-therapies-for-eczema-dermatitis, ncbi.nlm.nih.gov/pmc/articles/PMC6170075/, nationaleczema.org/eczema/types-of-eczema/contact-dermatitis/, aaaai.org/Tools-for-the-Public/Allergy,-Asthma-Immunology-Glossary/Contact-Dermatitis-Defined, aaaai.org/tools-for-the-public/conditions-library/allergies/contact-dermatitis-overview, nyulangone.org/conditions/eczema-dermatitis/diagnosis, aad.org/public/diseases/eczema/types/contact-dermatitis/treatment, nyulangone.org/conditions/eczema-dermatitis/treatments/medication-for-eczema-dermatitis, aad.org/public/diseases/eczema/types/contact-dermatitis/patch-testing-rash, aad.org/public/everyday-care/itchy-skin/rash/rash-101, aaaai.org/Tools-for-the-Public/Drug-Guide/Topical-Ointments-Creams, Debra Sullivan, Ph.D., MSN, R.N., CNE, COI. Surg. Type IV Hypersensitivity Reaction to Dermabond (2-Octyl Cyanoacrylate 2015;73(4):195-221. Interv. Providing cutting-edge scholarly communications Article Google Scholar Most of these studies have highlighted concerns like allergic reactions following the use of Dermabond Prineo [10, 24,25,26,27,28,29 . Dermabond - allergic reaction | HysterSisters - HysterSisters Hysterectomy Systemic steroids are the mainstay of treatment; however, topical petrolatum-based steroids not only treat symptoms but also dissolve the Dermabond. There has never been a reported case resulting from gynaecologic surgery until now. Diffuse Cutaneous Allergic Reaction to Dermabond. Lindstrom I, Suojalehto H, Henriks-Eckerman ML, Suuronen K (2013) Occupational asthma and rhinitis caused by cyanoacrylate-based eyelash extension glues. Epub 2020 Sep 3. The use of dermabond(R) as an adjunct to wound closure after total knee arthroplasty: Examining immediate post-operative wound drainage. The surgeon and infectious disease physician agreed that her erythema was an allergic reaction to the Dermabond. Please enable it to take advantage of the complete set of features! None of the patients received systemic steroid therapy or wound revision. Polymerized cyanoacrylate degrades into substances such as cyanoacetate and formaldehyde that may produce skin inflammation if accumulated in surrounding tissue [13]. further to my allergic reaction on Fri. HysterSisters Takes On Partner To Manage Continued Growth And Longevity. Larger molecular weight monomers, such as the 2-octyl cyanoacrylate formulation used in Dermabond, have proven to be less histotoxic. The potential adverse effects resulting from use of Dermabond should be discussed with every patient before use. Once applied, this film is left to dry and usually lasts five to 10 days on the skin. 105, 409420 (2000). ~%_W+`Su3-x3LX8pg u Our community is filled with women who have been through the Hysterectomy experience providing both advice and support from our active members and moderators. Before The patient was advised to remove the remaining skin adhesive with petroleum jelly and acetone per the manufacturers instruction and referred to a dermatologist. Continuous variables were analyzed with simple logistic regression, and categorical variables were analyzed using the chi-square test or Fisher exact test, as appropriate. 0000002325 00000 n Dermabond is a liquid adhesive that contains the monomer of 2-octyl cyanocrylate (at a concentration of 94%). Bethesda, MD 20894, Web Policies https://doi.org/10.1038/s41598-021-03319-3, DOI: https://doi.org/10.1038/s41598-021-03319-3. Severe Allergic Reaction to Dermabond - Oxford Academic The findings of this study showed that the incidence of ACD was 2.7% in 2-octyl cyanoacrylate and 2.2% in n-butyl cyanoacrylate, but none of the variables were found to increase the risk of ACD. 0000059134 00000 n HtV6}7Rno[o6HRvZJ\$*^${gg.`6{u~ujH`:vAUwK,7uXFqv?/#d3/~(8oVI#KG :8;+HjQ To address this issue, we reviewed 1027 patients who underwent skin closure with 2-octyl cyanoacrylate and n-butyl cyanoacrylate topical skin adhesives to investigate the incidence and risk factors of ACD to topical skin adhesives. Collaborations, Submit Keywords: A, Preoperative view of a 36-year-old woman. Allergic contact dermatitis due to the liquid skin adhesive Dermabond Contact dermatitis caused by dermabond advanced use. 2020 John Wiley & Sons A/S . 0000010940 00000 n for this article. researchers, each embracing the concept that basic knowledge can foster Fibrin glue versus N-butyl-2-cyanoacrylate in corneal perforations. Contact Dermatitis from Dermabond : Plastic and Reconstructive - LWW Foot Ankle Int. 16 September 2014. If an allergic reaction is encountered, Dermabond should be removed with petroleum jelly or acetone. Does Implant Surface Texture Affect the Risk of Capsular Contracture in Subglandular Breast Augmentation and Breast Augmentation-Mastopexy? 0000055840 00000 n 15, 689695 (2004). Published by John Wiley & Sons Ltd. Our community is filled with women who have been through the Hysterectomy experience providing both advice and support from our active members and moderators. Our community is filled with women who have been through the Hysterectomy experience providing both advice and support from our active members and moderators. Dunst KM, Auboeck J, Zahel B, Raffier B, Huemer GM (2010) Extensive allergic reaction to a new wound closure device (Prineo). and The site is secure. Comparison of 2-octyl cyanoacrylate skin adhesive and interrupted 0000059447 00000 n I had a rash covering my whole abdomen and anywhere they put that stuff, as well as on my thighs. The Bactrim DS was continued for one week because of the broken skin and the danger of superinfection. Although 2-octyl cyanoacrylate and n-butyl cyanoacrylate are harmless to most patients, they can act as allergens and cause allergic contact dermatitis (ACD)15,16. Orthop. and J.W.C. Hysterectomy Recovery (post hysterectomy) . Wound complications after 2-octyl skin closure systems for total joint arthroplasty. Ardis AE (1949) US patent nos. 0000047688 00000 n https://doi.org/10.1002/14651858.CD003326/epdf/full. 2016 Mar-Apr;27(2):75-6. doi: 10.1097/DER.0000000000000163. Adv. Interestingly, Nakagawa et al.25 reported a 7.0% incidence of ACD in 100 patients who underwent breast reconstruction surgery. None of the variables was found to increase the risk of ACD. doi: 10.3928/01477447-20200827-01. 0000060206 00000 n Gaspar, Michael P. Her wounds were closed with Vicryl sutures (Ethicon), deep dermal polydioxanone sutures (Ethicon), key sutures with Prolene (Ethicon), and Dermabond on the skin. Singer, A. J., Perry, L. C. & Allen, R. L. Jr. (PDF) Allergic reaction to Dermabond in gynaecologic surgery - ResearchGate This article describes a severe allergic reaction to Dermabond following breast augmentation/mastopexy. Emerg. For this reason, topical skin adhesives, which have the advantages of good scar cosmesis, infection prevention, easy skill acquisition, and lack of need for dedicated removal have begun to attract attention7,8,9,10,11,12,13. Wright JD, Herzog TJ, Tsui J, Ananth CV, Lewin SN, et al. All data in this study are freely available to any researcher for noncommercial purposes. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Close-up view of erythema surrounding the right lower abdominal 5-mm trocar site on post-operative day 7. You can learn more about how we ensure our content is accurate and current by reading our. Ronis ML, Harwich JD, Fung R, Dellavecchia M (1984) Review of cyanoacrylate tissue glues with emphasis on their otorhinolaryngological applications. Laparoscopic and robotic hysterectomy are becoming increasingly popular alternatives to open abdominal procedures. Content may require purchase if you do not have access. Anaphylactic allergic reaction, throat closure and systemic pruritus, has been noted following exposure to aspirin and codeine approximately 20 years prior. J. Arthroplasty 28, 553556 (2013). Contraindications to Dermabond use include cyanoacrylate or formaldehyde allergy. All patients underwent foot and ankle surgeries, which were performed by two orthopedic surgeons. We retrospectively reviewed 1145 patients (739 patients with 2-octyl cyanoacrylate and 406 patients with n-butyl cyanoacrylate) who underwent skin closure with topical skin adhesives. Surgical site infection should always be considered when evaluating a potential allergic reaction to Dermabond or other skin adhesive. and Clin Case Studie Rep 1: DOI: 10.15761/CCSR.1000102. This can include contact with surgical instruments or supplies that are not hypoallergenic, such as bandages, surgical glue, or antiseptic solutions. Dermabond - allergic reaction Need Answers? Is Fixing Pediatric Nail Bed Injuries With Medical Adhesives as Effective as Suturing? 2018 Gorski J. Salazar, Peggy E. Sci. Figure 2. Cochetti, G. et al. The patient's husband eventually excised the residual Dermabond and reclosed the wound. Ricci, Joseph A. 0000068746 00000 n This can indicate infection, which needs to be treated right away. Plast. J. Adhes. 0000098852 00000 n and To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. In this retrospective study, 577 patch tested patients were included. Article Acad. government site. This addition is the most recent expansion of traditional skin wound closure techniques such as suture, staple, and adhesive tape approximation [4]. Blackmore, Sid (2013) Nationwide trends in the performance of inpatient hysterectomy in the United States. There are some reports in the literature regarding Dermabond associated contact dermatitis. 2022. Dermatologist evaluation confirmed 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. w5P 6 5N,i5E$3011aeax0d2b fc2ba41q?g+3dQ2 /:+c=2F-x..FDtT81a.Q|,/1E0|b 0000005379 00000 n ACD was considered as a dependent variable, while age, sex, body mass index, diabetes, smoking, asthma, history of atopic dermatitis, history of contact dermatitis, neutrophil count, eosinophil count, and anatomical region were considered as independent variables. Don't add any creams to what you were prescribed without checking with your doctor. 0000068029 00000 n Dermabond allergy is an extremely rare event. Dermabond was first approved by the US Food and Drug Administration in 1998 and has steadily increased in popularity. Pediatr Emerg Care. Polym. 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. 0000060962 00000 n For wound dehiscence, adhesive tape was applied to the margins of the wound. PubMed Thus, allergic reactions should only increase as laparoscopic and robotically assisted hysterectomy replace open abdominal and vaginal techniques. 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. This second exposure to Dermabond caused an intense contact dermatitis that readily resolved with steroid use. See additional information. HysterSisters.com is located at 111 Peter St, Toronto, Canada, M5V2H1 and is part of the VerticalScope network of websites. All data supporting our findings are contained within the manuscript. Medicine 99, e20573 (2020). If allergic dermatitis is the diagnosis, avoiding the irritant is the first line of defense.
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