Allergic contact reaction mimicking poor wound healing caused by Iodophor-impregnated surgical drape
Keywords:
allergic contact dermatitis, iodophor-impregnated surgical drape, iodine allergy, dressing materialsAbstract
WECHSURUK P, SUKAKUL T. ALLERGIC CONTACT REACTION MIMICKING POOR WOUND HEALING CAUSED BY IODOPHOR-IMPREGNATED SURGICAL DRAPE. THAI J DERMATOL 2020; 36: 20-24.
DEPARTMENT OF DERMATOLOGY, FACULTY OF MEDICINE SIRIRAJ HOSPITAL, MAHIDOL UNIVERSITY, BANGKOK, THAILAND.
Contact dermatitis due to povidone-iodine is rare, and a small number of cases has been reported over the years. We present a case of allergic contact dermatitis on traumatic abrasion wound due to iodophor-impregnated surgical incise drape. The diagnosis was based on clinical manifestations, sites of the lesions, history of substance exposure, and patch test results. Allergic contact reactions developed in the traumatic wound should be suspected as one of the differential diagnoses when inflammation occurs restrictively on the area occluded by dressing garment or covered by drapes. The reactions might resemble secondary bacterial infection or delayed wound healing. We recommend sending the patients for patch tests or performing repeat open application tests to confirm the diagnosis in suspected cases for the best patient care.
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