title: Allergic contact dermatitis from EMLA cream in a hemodialyzed patient.
abstract: The eutectic mixture EMLA cream has many medical uses, including pain relief for hemodialyzed patients prior to cannulation. Cutaneous side effects associated with its application have rarely been reported. A patient on hemodialysis developed an itchy eruption over his brachial arteriovenous fistula, where he was applying EMLA cream three times per week, prior to puncture for hemodialysis. Patch testing elicited a positive reaction to several allergens, including EMLA cream "as is" and prilocaine. The lesions resolved after topical treatment with corticosteroids.
authors.affiliation: Department of Dermatology, Complejo Hospitalario Universitario, Faculty of Medicine, Santiago de Compostela, Spain.
authors.forename: Lidia-Comba
authors.initials: LC
authors.lastname: Pérez-Pérez
authors.forename: Virginia
authors.initials: V
authors.lastname: Fernández-Redondo
authors.forename: Manuel
authors.initials: M
authors.lastname: Ginarte-Val
authors.forename: Carmen
authors.initials: C
authors.lastname: Paredes-Suárez
authors.forename: Jaime
authors.initials: J
authors.lastname: Toribio
mesh_terms: D000368:Aged; D019162:Anesthetics, Combined / Q000009:adverse effects*; D000779:Anesthetics, Local / Q000009:adverse effects*; D017449:Dermatitis, Allergic Contact / Q000209:etiology*; D006801:Humans; D008012:Lidocaine / Q000009:adverse effects*; D000077442:Lidocaine, Prilocaine Drug Combination; D009824:Ointments; D011318:Prilocaine / Q000009:adverse effects*; D006435:Renal Dialysis
chemical_list: D019162:Anesthetics, Combined; D000779:Anesthetics, Local; D000077442:Lidocaine, Prilocaine Drug Combination; D009824:Ointments; D011318:Prilocaine; D008012:Lidocaine