Allergic contact dermatitis and eosinophilia in association with a hemodialysis cannula.
After starting daily hemodialysis (HD) therapy, 2 patients experienced pruritic, erythematous, papular eruptions at their arteriovenous fistula sites. Both patients also developed systemic eosinophilia, with eosinophil counts from 1.0 to 4.4 x 10(9) . In all other respects, the patients were well and both had a subjective improvement in their quality of life. Results of initial investigations to rule out the possibility of parasites, collagen vascular disease, and myeloproliferative disorders were negative in 1 patient. Subsequent patch testing in both patients was positive for allergic contact dermatitis secondary to the epoxy resin used in their blunt HD needles.
Haussmann
Jessica
J
The University of Ottawa, Ottawa, Ontario, Canada.
Pratt
Melanie
M
Linett
Lauren
L
Zimmerman
Deborah
D
D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects*; D002408:Catheters, Indwelling / Q000009:adverse effects*; D017449:Dermatitis, Allergic Contact / Q000175:diagnosis*; D004802:Eosinophilia / Q000175:diagnosis*; D006801:Humans; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis / Q000009:adverse effects* / Q000379:methods