Yavascan Onder, Kara Orhan Deniz, Sozen Gulben, Aksu Nejat
SSK Tepecik Teaching Hospital, Department of Pediatric Nephrology, Yenisehir, Izmir, Turkey.
Adv Perit Dial. 2005;21:131-3.
Allergic dermatitis around the catheter exit site, caused by topical antiseptics such as povidone iodine and chlorhexidine gluconate, is an uncommon complication in patients on chronic peritoneal dialysis (CPD). As yet, published reports concerning this rare non catheter-related complication are few. The frequency of this type of dermatitis is not known, because reports of isolated cases constitute the only source of information. Here, we report our clinical experience with 2 patients (2.3%) among the 86 children with end-stage renal disease who underwent CPD treatment at our center during the period between November 1995 and December 2004. These 2 pediatric patients developed allergic contact dermatitis, with extensive patchy and linear erythema around the exit-site area because of administration of povidone iodine solution. The symptoms subsided within a week in both patients after daily topical application of normal saline solution was started. Allergic dermatitis caused by povidone iodine at the site of the catheter exit should be kept in mind as a complication in patients on CPD. Antiseptic solutions should be used cautiously in these patients.
由聚维酮碘和葡萄糖酸氯己定等局部防腐剂引起的导管出口部位过敏性皮炎，在慢性腹膜透析（CPD）患者中是一种罕见的并发症。迄今为止，关于这种罕见的非导管相关并发症的已发表报告很少。由于仅孤立病例报告是信息的唯一来源，这种皮炎的发生率尚不清楚。在此，我们报告了1995年11月至2004年12月期间在我们中心接受CPD治疗的86例终末期肾病儿童中的2例患者（2.3%）的临床经验。这2例儿科患者因使用聚维酮碘溶液而发生过敏性接触性皮炎，出口部位周围出现广泛的斑片状和线状红斑。在开始每日局部应用生理盐水溶液后，两名患者的症状均在一周内消退。在CPD患者中，应将导管出口部位由聚维酮碘引起的过敏性皮炎视为一种并发症。在这些患者中应谨慎使用防腐溶液。
