Sidhu S K, Shaw S
Department of Environmental and Contact Dermatitis, Amersham Hospital, Buckinghamshire, UK.
Ann R Coll Surg Engl. 1999 May;81(3):187-90.
We report 2 cases of elicitation of allergic contact dermatitis to acrylates from disposable blue diathermy pads used on patients who underwent routine surgery. Their reactions were severe, and took approximately 5 weeks to resolve. Both patients gave a prior history of finger tip dermatitis following the use of artificial sculptured acrylic nails, which is a common, but poorly reported, cause of acrylate allergy. Patch testing subsequently confirmed allergies to multiple acrylates present in both the conducting gel of disposable blue diathermy pads, and artificial sculptured acrylic nails. We advocate careful history taking prior to surgery to avoid unnecessary exposure to acrylates in patients already sensitized.
我们报告了2例在接受常规手术的患者中使用一次性蓝色透热垫后引发对丙烯酸酯类过敏接触性皮炎的病例。他们的反应很严重，大约需要5周才能消退。两名患者既往均有使用人工雕刻丙烯酸指甲后出现指尖皮炎的病史，这是丙烯酸酯类过敏的常见但报道较少的原因。斑贴试验随后证实对一次性蓝色透热垫的导电凝胶和人工雕刻丙烯酸指甲中存在的多种丙烯酸酯类过敏。我们提倡在手术前仔细询问病史，以避免已致敏患者不必要地接触丙烯酸酯类。
