Contact dermatitis due to ultrasound gel: A case report and published work review.
Adverse skin reactions with ultrasound gel are rare and related mostly to allergic contact dermatitis or contact urticaria. We report an allergic contact dermatitis with Doppler ultrasound gel applied in a 67-year-old man. The patient developed atypical purpuric cutaneous presentation located on vascular axes. Semi-open test with ultrasound gel and patch test with phenoxyethanol were followed by the same clinical purpuric eruption which strongly suggested the accountability of this later component as allergen. Based on this observation, we present a review of published work with a focus on clinical features and allergens involved in ultrasound gel cutaneous reaction.
Unit of Dermatology, Pitié-Salpêtrière Hospital, Paris, France.|Service of Dermatology and Allergy, Tenon Hospital, AP-HP, Paris, France.
François
F
Chasset
Service of Dermatology and Allergy, Tenon Hospital, AP-HP, Paris, France.|Sorbonne University, UPMC, Paris, France.|Inserm U1135, Centre Maladies Immunology and Infectious Disease Center (CIMI-Paris), Paris, France.
Angèle
A
Soria
Service of Pathology, Tenon Hospital, Paris, France.
Philippe
P
Moguelet
Sorbonne University, UPMC, Paris, France.|UHSI, Pitié-Salpêtrière Hospital, AP-HP, Paris, France.
Alexis
A
Mathian
UHSI, Pitié-Salpêtrière Hospital, AP-HP, Paris, France.
Yvain
Y
Auger
Service of Dermatology and Allergy, Tenon Hospital, AP-HP, Paris, France.|Sorbonne University, UPMC, Paris, France.
Camille
C
Francès
Unit of Dermatology, Pitié-Salpêtrière Hospital, Paris, France.|Service of Dermatology and Allergy, Tenon Hospital, AP-HP, Paris, France.|Sorbonne University, UPMC, Paris, France.
Stéphane
S
Barete
D000368:Aged; D000485:Allergens / Q000009:adverse effects / Q000276:immunology; D017449:Dermatitis, Allergic Contact / Q000209:etiology*; D005026:Ethylene Glycols / Q000009:adverse effects* / Q000276:immunology; D005782:Gels; D006801:Humans; D008297:Male; D010328:Patch Tests; D018608:Ultrasonography, Doppler / Q000009:adverse effects*
D000485:Allergens; D005026:Ethylene Glycols; D005782:Gels; C005398:phenoxyethanol
allergic contact dermatitis; eczema; patch-test; phenoxyethanol; ultrasound