Skin Staining Following Intravenous Iron Extravasation in a Patient With Chronic Kidney Disease: A Case Report

RATIONALE: Intravenous iron is commonly use in anemia related to chronic kidney disease. Skin staining due to iron extravasation is a rare adverse reaction that can leave a long-term staining of the skin. PRESENTING CONCERNS OF THE PATIENTS: During iron derisomaltose infusion, patient reported iron extravasation. Five months after the incident, the skin stain related to the extravasation was still present. DIAGNOSIS: A case of skin staining due to iron derisomaltose extravasation was diagnosed. INTERVENTIONS/OUTCOMES: She was reviewed by dermatology and laser therapy was offered. TEACHING POINTS: Patients and clinicians need to be aware of this complication, and protocol needs to be put in place to minimize extravasation and its complication.