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Contact dermatitis presenting as non-healing wound: case report

Topical antiseptics are commonly used in the management of minor wounds, burns, and infected skin. These agents are widely used by health professionals and are often self-prescribed by patients as they are easily available over-the-counter. This case illustrates a 73 year old man who presented with...

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Autores principales: Leelavathi, M, Le, YY, Tohid, H, Hasliza, AH
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3113738/
https://www.ncbi.nlm.nih.gov/pubmed/21575147
http://dx.doi.org/10.1186/1447-056X-10-6
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author Leelavathi, M
Le, YY
Tohid, H
Hasliza, AH
author_facet Leelavathi, M
Le, YY
Tohid, H
Hasliza, AH
author_sort Leelavathi, M
collection PubMed
description Topical antiseptics are commonly used in the management of minor wounds, burns, and infected skin. These agents are widely used by health professionals and are often self-prescribed by patients as they are easily available over-the-counter. This case illustrates a 73 year old man who presented with a non-healing wound on his right forearm for 4 weeks. The wound started from an insect bite and progressively enlarged with increasing pruritus and burning sensation. Clinically an ill-defined ulcer with surrounding erythema and erosion was noted. There was a yellow crust overlying the center of the ulcer and the periphery was scaly. Further inquiry revealed history of self treatment with a yellow solution to clean his wound for 3 weeks. Patient was provisionally diagnosed to have allergic contact dermatitis secondary to acriflavine. Topical acriflavine was stopped and the ulcer resolved after treatment with non-occlusive saline dressing. Skin patch test which is the gold standard for detection and confirmation of contact dermatitis showed a positive reaction (2+) to acriflavine. Acriflavine is widely used as a topical antiseptic agent in this part of the world. Hence, primary care physicians managing a large variety of poorly healing wounds should consider the possibility of contact allergy in recalcitrant cases, not responding to conventional treatment. Patient education is an important aspect of management as this would help curb the incidence of future contact allergies.
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spelling pubmed-31137382011-06-14 Contact dermatitis presenting as non-healing wound: case report Leelavathi, M Le, YY Tohid, H Hasliza, AH Asia Pac Fam Med Case Report Topical antiseptics are commonly used in the management of minor wounds, burns, and infected skin. These agents are widely used by health professionals and are often self-prescribed by patients as they are easily available over-the-counter. This case illustrates a 73 year old man who presented with a non-healing wound on his right forearm for 4 weeks. The wound started from an insect bite and progressively enlarged with increasing pruritus and burning sensation. Clinically an ill-defined ulcer with surrounding erythema and erosion was noted. There was a yellow crust overlying the center of the ulcer and the periphery was scaly. Further inquiry revealed history of self treatment with a yellow solution to clean his wound for 3 weeks. Patient was provisionally diagnosed to have allergic contact dermatitis secondary to acriflavine. Topical acriflavine was stopped and the ulcer resolved after treatment with non-occlusive saline dressing. Skin patch test which is the gold standard for detection and confirmation of contact dermatitis showed a positive reaction (2+) to acriflavine. Acriflavine is widely used as a topical antiseptic agent in this part of the world. Hence, primary care physicians managing a large variety of poorly healing wounds should consider the possibility of contact allergy in recalcitrant cases, not responding to conventional treatment. Patient education is an important aspect of management as this would help curb the incidence of future contact allergies. BioMed Central 2011-05-15 /pmc/articles/PMC3113738/ /pubmed/21575147 http://dx.doi.org/10.1186/1447-056X-10-6 Text en Copyright ©2011 Leelavathi et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Leelavathi, M
Le, YY
Tohid, H
Hasliza, AH
Contact dermatitis presenting as non-healing wound: case report
title Contact dermatitis presenting as non-healing wound: case report
title_full Contact dermatitis presenting as non-healing wound: case report
title_fullStr Contact dermatitis presenting as non-healing wound: case report
title_full_unstemmed Contact dermatitis presenting as non-healing wound: case report
title_short Contact dermatitis presenting as non-healing wound: case report
title_sort contact dermatitis presenting as non-healing wound: case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3113738/
https://www.ncbi.nlm.nih.gov/pubmed/21575147
http://dx.doi.org/10.1186/1447-056X-10-6
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