title: [Tetracaine-induced systemic contact-type dermatitis].
abstract: We report the case of a 71-year-old-man with dermatitis in the groin area. Forty-eight hours previously, he had undergone transurethral resection for benign prostatic hyperplasia. During the prostatectomy, the probe was lubricated with a urological ointment containing the topical anesthetic, tetracaine. The patient had previously experienced severe pruritus and fissures in the perianal area after using antihemorrhoidal ointments. Biopsy and patch testing with the standard series and lubricant ointment showed positive reactions to this lubricant, called "urological lubricant" (UL) (+ + +) with caine mix (+ + +). The patient was diagnosed with systemic contact-type dermatitis due to caine mix. The dermatitis improved with topical steroids and oral antihistamine agents.
authors.affiliation: Servicio Dermatología, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
authors.forename: M
authors.initials: M
authors.lastname: Huerta Brogeras
authors.forename: J A
authors.initials: JA
authors.lastname: Avilés
authors.forename: M
authors.initials: M
authors.lastname: González-Carrascosa
authors.forename: P
authors.initials: P
authors.lastname: de la Cueva
authors.forename: R
authors.initials: R
authors.lastname: Suárez
authors.forename: P
authors.initials: P
authors.lastname: Lázaro
mesh_terms: D000287:Administration, Topical; D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000368:Aged; D000779:Anesthetics, Local / Q000008:administration & dosage / Q000009:adverse effects*; D017449:Dermatitis, Allergic Contact / Q000188:drug therapy / Q000209:etiology*; D006634:Histamine H1 Antagonists / Q000627:therapeutic use; D006801:Humans; D008153:Lubrication; D008297:Male; D011183:Postoperative Complications / Q000139:chemically induced / Q000188:drug therapy; D011470:Prostatic Hyperplasia / Q000601:surgery; D013748:Tetracaine / Q000008:administration & dosage / Q000009:adverse effects*; D020728:Transurethral Resection of Prostate
chemical_list: D000305:Adrenal Cortex Hormones; D000779:Anesthetics, Local; D006634:Histamine H1 Antagonists; D013748:Tetracaine