Friction Blisters on the Hands Treated Successfully Using 2-Octyl Cyanoacrylate: A Case Report.
BACKGROUND
Friction blisters on the hand are challenging to treat as conventional dressings are prone to saturation, contamination, and loosening with active hand use and other mechanical stresses. Alternative methods and materials for dressing hand blisters warrant exploration.


METHODS
A 48-year-old male surgeon presented with friction blisters over his bilateral thumbs. The patient complained of significant difficulty in keeping his dressings clean and dry, significant pain with hand hygiene, and functional limitations at work. The patient's blisters were dressed with 2-octyl cyanoacrylate (Dermabond; Ethicon US LLC, Somerville, New Jersey), applied directly onto the wound bed. The patient was able to perform his normal duties immediately, without the need for additional intervention. Six days postapplication, the Dermabond sloughed off, revealing an epithelialized surface.


CONCLUSIONS
Dermabond is a promising agent for dressing unroofed blisters of the hand, as it provides a barrier to moisture and contamination, while allowing the wound to epithelialize, without functional cost.
1 Department of Obstetrics and Gynecology, University of Pennsylvania Health System, Philadelphia, PA, USA.
Peter A
PA
Gearhart
2 The Philadelphia Hand Center, P.C., Department of Orthopaedic Surgery, Thomas Jefferson University, Philadelphia, PA, USA.
Michael P
MP
Gaspar
2 The Philadelphia Hand Center, P.C., Department of Orthopaedic Surgery, Thomas Jefferson University, Philadelphia, PA, USA.
Sidney M
SM
Jacoby
D001768:Blister / Q000473:pathology / Q000628:therapy; D003487:Cyanoacrylates / Q000008:administration & dosage / Q000494:pharmacology / Q000627:therapeutic use; D017276:Friction; D006230:Hand Injuries / Q000473:pathology / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D013933:Thumb / Q000473:pathology; D014014:Tissue Adhesives / Q000008:administration & dosage / Q000494:pharmacology / Q000627:therapeutic use; D014945:Wound Healing / Q000187:drug effects
D003487:Cyanoacrylates; D014014:Tissue Adhesives; C100832:octyl 2-cyanoacrylate
2-octyl cyanoacrylate; Dermabond; epithelialize; friction blister; tissue adhesive; wound dressing