title: Pruritic rash and eosinophilia in a patient receiving peritoneal dialysis.
abstract: A 28-year-old woman with end-stage renal disease maintained on peritoneal dialysis developed a hyperpigmented macular pruritic rash on multiple parts of her body associated with an eosinophilia of 22%. The consulting allergist suspected a silicone allergy from the peritoneal dialysis catheter. A patch test confirmed this diagnosis. Treatment with both topical and systemic steroids was ineffective. Following a living nonrelated renal transplant and removal of the catheter the rash and eosinophilia resolved.
authors.affiliation: Section of Nephrology, Department of Medicine, Rush University Medical Center, Chicago, Illinois, USA.
authors.forename: Umesh O
authors.initials: UO
authors.lastname: Patel
authors.forename: Susan R
authors.initials: SR
authors.lastname: Fox
authors.forename: James N
authors.initials: JN
authors.lastname: Moy
authors.forename: Stephen M
authors.initials: SM
authors.lastname: Korbet
mesh_terms: D000328:Adult; D002408:Catheters, Indwelling / Q000009:adverse effects*; D017449:Dermatitis, Allergic Contact / Q000175:diagnosis*; D004802:Eosinophilia / Q000209:etiology*; D005076:Exanthema / Q000209:etiology; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D010328:Patch Tests; D010530:Peritoneal Dialysis / Q000009:adverse effects / Q000295:instrumentation*; D011537:Pruritus / Q000209:etiology*; D012828:Silicones / Q000009:adverse effects*
chemical_list: D012828:Silicones