Severe generalized dermatitis in a nickel-allergic patient with a popliteal artery nitinol stent

We present the case of a patient who developed a full-body desquamating macular-papular, pruritic rash after endovascular placement of a popliteal artery nitinol stent for acute limb ischemia. The rash was resistant to high-dose steroid and immunosuppressive treatment and intensive topical treatment...

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Detalles Bibliográficos
Autores principales: Guerra, Andres, Kirkwood, Melissa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2017
Materias:
Abdominal aortic aneurysm
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5757756/
https://www.ncbi.nlm.nih.gov/pubmed/29349368
http://dx.doi.org/10.1016/j.jvscit.2016.08.002
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author Guerra, Andres
Kirkwood, Melissa
author_facet Guerra, Andres
Kirkwood, Melissa
author_sort Guerra, Andres
collection PubMed
description We present the case of a patient who developed a full-body desquamating macular-papular, pruritic rash after endovascular placement of a popliteal artery nitinol stent for acute limb ischemia. The rash was resistant to high-dose steroid and immunosuppressive treatment and intensive topical treatment. Patch testing revealed nickel allergy. The stented arterial segment was removed, with significant improvement in his symptoms that allowed the cessation of prednisone and topical treatments. The epidemiology, pathophysiology, and clinical effect of nickel allergy are discussed in addition to the use of nickel-alloy stents.
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spelling pubmed-57577562018-01-18 Severe generalized dermatitis in a nickel-allergic patient with a popliteal artery nitinol stent Guerra, Andres Kirkwood, Melissa J Vasc Surg Cases Innov Tech Abdominal aortic aneurysm We present the case of a patient who developed a full-body desquamating macular-papular, pruritic rash after endovascular placement of a popliteal artery nitinol stent for acute limb ischemia. The rash was resistant to high-dose steroid and immunosuppressive treatment and intensive topical treatment. Patch testing revealed nickel allergy. The stented arterial segment was removed, with significant improvement in his symptoms that allowed the cessation of prednisone and topical treatments. The epidemiology, pathophysiology, and clinical effect of nickel allergy are discussed in addition to the use of nickel-alloy stents. Elsevier 2017-03-06 /pmc/articles/PMC5757756/ /pubmed/29349368 http://dx.doi.org/10.1016/j.jvscit.2016.08.002 Text en © 2016 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Abdominal aortic aneurysm
Guerra, Andres
Kirkwood, Melissa
Severe generalized dermatitis in a nickel-allergic patient with a popliteal artery nitinol stent
title Severe generalized dermatitis in a nickel-allergic patient with a popliteal artery nitinol stent
title_full Severe generalized dermatitis in a nickel-allergic patient with a popliteal artery nitinol stent
title_fullStr Severe generalized dermatitis in a nickel-allergic patient with a popliteal artery nitinol stent
title_full_unstemmed Severe generalized dermatitis in a nickel-allergic patient with a popliteal artery nitinol stent
title_short Severe generalized dermatitis in a nickel-allergic patient with a popliteal artery nitinol stent
title_sort severe generalized dermatitis in a nickel-allergic patient with a popliteal artery nitinol stent
topic Abdominal aortic aneurysm
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5757756/
https://www.ncbi.nlm.nih.gov/pubmed/29349368
http://dx.doi.org/10.1016/j.jvscit.2016.08.002
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