title: Seizures and Methemoglobinemia After Topical Application of Eutectic Mixture of Lidocaine and Prilocaine on a 3.5-Year-Old Child with Molluscum Contagiosum and Atopic Dermatitis.
abstract: A eutectic mixture of lidocaine and prilocaine (EMLA) is used topically to provide local anesthesia for a variety of painful superficial procedures. Although the side effects of EMLA are usually mild and transient local reactions, potentially life-threatening complications can occur. We report a case of generalized seizures and methemoglobinemia after topical application of EMLA for curettage of molluscum contagiosum lesions in a 3.5-year-old girl with atopic dermatitis.
authors.affiliation: Department of Dermatology, College of Medicine, Hallym University, Seoul, Korea.
authors.forename: Yong Se
authors.initials: YS
authors.lastname: Cho
authors.affiliation: Department of Dermatology, College of Medicine, Hallym University, Seoul, Korea.
authors.forename: Bo Young
authors.initials: BY
authors.lastname: Chung
authors.affiliation: Department of Dermatology, College of Medicine, Hallym University, Seoul, Korea.
authors.forename: Chun Wook
authors.initials: CW
authors.lastname: Park
authors.affiliation: Department of Dermatology, College of Medicine, Hallym University, Seoul, Korea. hyeonekim@gmail.com.
authors.forename: Hye One
authors.initials: HO
authors.lastname: Kim
mesh_terms: D000287:Administration, Topical; D000779:Anesthetics, Local / Q000009:adverse effects*; D002675:Child, Preschool; D003876:Dermatitis, Atopic / Q000150:complications / Q000628:therapy*; D005260:Female; D006801:Humans; D008012:Lidocaine / Q000009:adverse effects*; D000077442:Lidocaine, Prilocaine Drug Combination; D008708:Methemoglobinemia / Q000139:chemically induced*; D008976:Molluscum Contagiosum / Q000150:complications / Q000628:therapy*; D011318:Prilocaine / Q000009:adverse effects*; D012640:Seizures / Q000139:chemically induced*
chemical_list: D000779:Anesthetics, Local; D000077442:Lidocaine, Prilocaine Drug Combination; D011318:Prilocaine; D008012:Lidocaine