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Allergic contact dermatitis to Dermabond A case and review of the literature.pdf

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Allergic contact dermatitis to Dermabond A case and review of the literature.pdf

Wound Medicine 14 (2016) 25–30 Contents lists available at ScienceDirect Wound Medicine journal homepage: /locate/wndm Review article Allergic contact dermatitis to DermabondTM: A case and review of the literature Solveig L. Hagen, B.A.a,b, Katherine R. Grey, B.A.a,b, Sara A. Hylwa, M.D.b,c,* a University of Minnesota Medical School, Minneapolis, MN, United States b Department of Dermatology, Hennepin County Medical Center, Minneapolis, MN, United States c Department of Dermatology, University of Minnesota, Minneapolis, MN, United States ARTICLE INFO Article history: Received 22 April 2016 Accepted 31 July 2016 Available online 2 August 2016 Keywords: Dermabond 2-Octyl-cyanoacrylate Patch testing Allergic contact dermatitis ABSTRACT The differential diagnosis for post-operative wound dehiscence is vast, including incisional infections, hematoma, and inadequate surgical closure. Allergic contact dermatitis (ACD) is an under-recognized and frequently missed cause of post-operative wound complications. Improved access to healthcare and high prevalence of surgical and procedural care mean patients are exposed to an increasingly vast spectrum of potential contact allergens. Early identi?cation, diagnosis, and treatment of ACD will improve patient outcomes and prevent future exposures and wound complications. We present a case of severe ACD to DermabondTM, review previously reported cases of ACD to DermabondTM, and discuss other potential causes of perioperative ACD to raise awareness of this rare but important cause of wound complications. Published by Elsevier GmbH. Contents 1. Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 2. Case . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .