title: Surgery-Related Contact Dermatitis: A Review of Potential Irritants and Allergens.
abstract: Surgical procedures utilize an increasing number of medical products including antiseptics, anesthetics, gloves, suture materials, tissue adhesives, topical antibiotics, and bandages. Many of these products have irritant potential. Allergic contact dermatitis has also been reported. This review covers preoperative, operative, and postoperative exposures that may result in contact dermatitis. Testing with standard patch panels such as T.R.U.E. Test and the North American Contact Dermatitis Group 65 allergen series does not evaluate for all relevant contactants. A thorough understanding of potential exposures is vital to effectively evaluate a patient with surgery-related contact dermatitis. A systematic approach is needed to ensure that standard patch panels and supplementary patches adequately address each encountered contactant.
authors.affiliation: Division of Allergy, Asthma and Immunology, Scripps Clinic, San Diego, Calif. Electronic address: cook.kevin@scrippshealth.org.
authors.forename: Kevin A
authors.initials: KA
authors.lastname: Cook
authors.affiliation: Division of Allergy, Asthma and Immunology, Scripps Clinic, San Diego, Calif.
authors.forename: John M
authors.initials: JM
authors.lastname: Kelso
mesh_terms: D000485:Allergens / Q000009:adverse effects / Q000276:immunology*; D000818:Animals; D017449:Dermatitis, Allergic Contact / Q000209:etiology / Q000276:immunology*; D004781:Environmental Exposure / Q000009:adverse effects; D006801:Humans; D007509:Irritants / Q000009:adverse effects / Q000276:immunology*; D010328:Patch Tests; D011183:Postoperative Complications / Q000276:immunology*; D013514:Surgical Procedures, Operative
chemical_list: D000485:Allergens; D007509:Irritants
keywords: Adhesive allergy; Anesthetic; Antiseptic; Contact dermatitis; Cyanoacrylate; Surgery-related contact dermatitis