title: Dermatitis caused by metal allergy after coil embolization for unruptured cerebral aneurysm.
abstract: We report a rare case of metal-induced dermatitis after coil embolization for cerebral aneurysm. A 51-year-old woman experienced a rash around the lips and neck 3 weeks after coil embolization. Judging from the clinical course and results of several patch tests, platinum coils were considered to have induced the dermatitis. Symptoms were relieved with administration of oral steroids. This represents the first report of metal-induced dermatitis after neuroendovascular treatment. The possibility of metal allergy was difficult to suspect preoperatively. However, early evaluation and referral are important when skin symptoms are observed postoperatively.
authors.affiliation: Department of Neuroendovascular Surgery, National Hospital Organization Kyushu Medical Center, Fukuoka, Japan Department of Cerebrovascular Medicine, Saga Prefectural Hospital Koseikan, Saga, Japan.
authors.forename: Takeshi
authors.initials: T
authors.lastname: Uwatoko
authors.affiliation: Department of Neuroendovascular Surgery, National Hospital Organization Kyushu Medical Center, Fukuoka, Japan.
authors.forename: Tomoyuki
authors.initials: T
authors.lastname: Tsumoto
authors.affiliation: Department of Dermatology, National Hospital Organization Kyushu Medical Center, Fukuoka, Japan.
authors.forename: Naoko
authors.initials: N
authors.lastname: Wada
authors.affiliation: Department of Dermatology, National Hospital Organization Kyushu Medical Center, Fukuoka, Japan.
authors.forename: Kazunori
authors.initials: K
authors.lastname: Urabe
authors.affiliation: Department of Neuroendovascular Surgery, National Hospital Organization Kyushu Medical Center, Fukuoka, Japan.
authors.forename: Yoshiki
authors.initials: Y
authors.lastname: Sanbongi
authors.affiliation: Department of Neuroendovascular Surgery, National Hospital Organization Kyushu Medical Center, Fukuoka, Japan.
authors.forename: Sou
authors.initials: S
authors.lastname: Tokunaga
authors.affiliation: Department of Neuroendovascular Surgery, National Hospital Organization Kyushu Medical Center, Fukuoka, Japan.
authors.forename: Yuichirou
authors.initials: Y
authors.lastname: Tsurusaki
authors.affiliation: Department of Cerebrovascular Medicine and Neurology, Cerebrovascular Center and Clinical Research Institute, National Hospital Organization Kyushu Medical Center, Fukuoka, Japan.
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Okada
mesh_terms: D001807:Blood Vessel Prosthesis; D003872:Dermatitis / Q000209:etiology*; D004621:Embolization, Therapeutic / Q000009:adverse effects*; D005260:Female; D006801:Humans; D006967:Hypersensitivity / Q000150:complications*; D002532:Intracranial Aneurysm / Q000150:complications* / Q000628:therapy*; D008670:Metals; D008875:Middle Aged; D010984:Platinum; D013256:Steroids / Q000627:therapeutic use; D016896:Treatment Outcome
chemical_list: D008670:Metals; D013256:Steroids; D010984:Platinum
keywords: Aneurysm; Coil; Complication; Device; Intervention