Generalized erythema‐multiforme‐like eruption following allergic contact dermatitis

Torinuki, Wakio

doi:10.1111/j.1600-0536.1990.tb04795.x

Cited by 27 publications

(13 citation statements)

References 3 publications

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“…The sensitization to povidone iodine is reported to be very rare, with a ratio of 0.73%, and this for allergy against iodine, not povidone iodine itself [19,21]. There are a few case reports including contact dermatitis and other rare allergic reactions to povidone iodine [8,23,25]. We did not encountered any allergic reaction in any of the medical personnel included in the study.…”

Section: Discussionmentioning

confidence: 39%

Presurgical scrubbing in plastic and reconstructive surgery: a prospective study

2003

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Presurgical cleansing of the operative area and the hands of the surgical team makes an important contribution in preventing surgical wound infections. In plastic and reconstructive surgery, because of the continuous contamination of the surgical site by the patient's normal flora intraoperatively and postoperatively, the agents should be convenient for use in various parts of the body, and the residual effect of the agents should supply a protection for a long period of time, not only in the surgical area but also on the hands of the surgical team. This prospective study included the surgeons and the nurses of the first two operations of the day in two different operating rooms, examining a total of 598 operations, and 2180 medical personnel, and 36,624 cultures. There were ten study groups, each composed of 218 subjects. Cultures were taken at six steps from three areas. It was found that with the conventional brush scrub technique there was no significant difference between 5 and 10 min of scrubbing. Benzalkonium chloride was as effective as povidone iodine if the scrubbing type and time were not considered. In our study the antiseptic agent was not rinsed with tap water and was left on the skin. Even after drying with a sterile towel the agent was still on the skin as a layer. Regardless of the duration of the technique, the microbial counts after removing the gloves postoperatively were as low as those preoperatively after scrubbing. When compared with the conventional scrub technique, this had a residual effect of very long duration. The postoperative samples taken from the fingernails showed that this technique was capable of disinfecting the subungual area because the agent was still present over the skin as a white lather layer and was covering in the intended regions of the hand Keywords Antiseptic agents · Presurgical scrub · Subungual bacteria · Surgical gloves Material and methodsThe study was conducted prospectively for 1 year between January 2000 and January 2001. The surgeons and the nurses of the first two operations of the day in two different operating rooms

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Section: Discussionmentioning

confidence: 39%

Presurgical scrubbing in plastic and reconstructive surgery: a prospective study

2003

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“…A 10% PVP‐I solution contains 10% bound iodine and 1% available iodine, making it less toxic and irritating than pure iodine solutions. Although it is considered to have a low irritant potential, scattered cases of severe skin injury have been associated with the use of PVP‐I in the surgical setting . In this series, our patients developed contact dermatitis, which was localized in areas of embedded medical devices that were painted with PVP‐I as well as in areas where PVP‐I was suspected to have pooled during the surgical procedure.…”

Section: Introductionmentioning

confidence: 75%

“…Only one patient reacted to the 10% aqueous PVP‐I in the patch test, but the ROAT using 10% aqueous PVP‐I and Betadine Sol Dermica (r) was negative. Allergic contact dermatitis from PVP‐I has been reported over the last 30 years (Table ), but, in the case of patients, the lesions were located where the antiseptic had been applied. De la Cuadra‐Oyanguren et al .…”

Section: Resultsmentioning

confidence: 99%

Povidone‐iodine induced post‐surgical irritant contact dermatitis localized outside of the surgical incision area. Report of 27 cases and a literature review

Borrego

Hernández

et al. 2015

Int J Dermatology

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Povidone-iodine-induced post-surgical dermatitis may be a severe complication after prolonged surgical procedures. As stated in the literature and based on the observation that povidone-iodine-induced contact irritant dermatitis occurred in areas of pooling or occlusion, we speculate that povidone-iodine together with occlusion were the causes of the dermatitis epidemic that occurred in our surgical setting. Povidone-iodine dermatitis is a problem that is easily preventable through the implementation of minimal routine changes to adequately dry the solution in contact with the skin.

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“…The rash usually appears first near the contact dermatitis with sparing of the immediately adjacent skin, and then it generalizes [4].…”

Section: Discussionmentioning

confidence: 99%

Erythema multiforme caused by tattoo: a further case

et al. 2010

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Generalized erythema‐multiforme‐like eruption following allergic contact dermatitis

Cited by 27 publications

References 3 publications

Presurgical scrubbing in plastic and reconstructive surgery: a prospective study

Presurgical scrubbing in plastic and reconstructive surgery: a prospective study

Povidone‐iodine induced post‐surgical irritant contact dermatitis localized outside of the surgical incision area. Report of 27 cases and a literature review

Erythema multiforme caused by tattoo: a further case

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