Comparison of 2-octyl cyanoacrylate skin adhesive and interrupted Of the three excluded patients, one had scabies and two had dyshidrotic eczema. A 63-year-old nulliparous female presented on post-operative day 7 status post total laparoscopic hysterectomy and bilateral salpingo-oophorectomy with sudden onset of erythema and pruritus around all four port site incisions (Figure 1). Her wounds were closed with Vicryl sutures (Ethicon), deep dermal polydioxanone sutures (Ethicon), key sutures with Prolene (Ethicon), and Dermabond on the skin. Did you have either adhesions or Interstitial Cystitis? xref (n.d.). J. Arthroplasty 28, 553556 (2013). 0000010468 00000 n 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. 0000053193 00000 n 2021 Mar 24;13(3):e14090. None of the variables was found to increase the risk of ACD. 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. Academic Pulmonary Sleep Medicine Physician Opportunity in Scenic Central Pennsylvania, MEDICAL MICROBIOLOGY AND CLINICAL LABORATORY MEDICINE PHYSICIAN, CLINICAL CHEMISTRY LABORATORY MEDICINE PHYSICIAN. However, in some patients, it mimics postoperative infection, causes severe local or systemic reactions, and eventually, cosmetic sequelae17. B, Two months after breast augmentation/mastopexy and resolution of her allergic reaction to Dermabond. Subsequent dermatologic evaluation confirmed the suspicion of an allergic reaction to Dermabond. 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. Seven days postoperatively, the patient's sutures were removed without incident (Figure 2). 2021. Three additional trocars were placed in the right lower quadrant, left lower quadrant and at the umbilicus. 2014. Pruritus will begin at the incision sites around post-operative day 3 and continue until development of visually apparent erythematous wheals surrounding each site around post-operative day 7. By submitting a comment you agree to abide by our Terms and Community Guidelines.
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