Suhng Eun Ah, Byun Ji Yeon, Choi You Won, Myung Ki Bum, Choi Hae Young
Department of Dermatology, School of Medicine, Ewha Womans University, Seoul, Korea.
Ann Dermatol. 2011 Dec;23(Suppl 3):S387-9. doi: 10.5021/ad.2011.23.S3.S387. Epub 2011 Dec 27.
Over the past years, hydrocolloid dressings have been introduced routinely in the treatment of various types of wounds. They provide a moist environment promoting autolytic debridement, and stimulate angiogenesis. However, long-term application often leads to inflammation of the skin in the immediate area of the ulcer, causing irritant dermatitis in many cases, but sometimes also leads to contact sensitization. A 32 year-old woman burnt herself by an iron, and presented to our clinic and was treated with Duoderm extrathin®. Nine days later, she again presented with an erythematous oozing patch with edema, and allergic contact dermatitis was suspected. A patch test (TRUE test) was performed and a positive reaction to colophonium was obtained. Duoderm extrathin® contains hydrogenated rosin (colophonium) as the tackifying agent, so we could diagnose this case as allergic contact dermatitis due to the hydrogenated rosin in Duoderm extrathin®. We report another case of allergic contact dermatitis due to Duoderm extrathin® in a 32 year-old woman.
在过去几年中,水胶体敷料已被常规用于各类伤口的治疗。它们能提供一个促进自溶性清创的湿润环境,并刺激血管生成。然而,长期使用往往会导致溃疡周边皮肤发炎,在许多情况下会引发刺激性皮炎,但有时也会导致接触性致敏。一名32岁女性被熨斗烫伤,前来我们诊所就诊,接受了康惠尔超薄型水胶体敷料(Duoderm extrathin®)治疗。九天后,她再次出现红斑、渗液斑伴水肿,怀疑为过敏性接触性皮炎。进行了斑贴试验(TRUE试验),对松香呈阳性反应。康惠尔超薄型水胶体敷料(Duoderm extrathin®)含有氢化松香(松香)作为增粘剂,所以我们可以将该病例诊断为由康惠尔超薄型水胶体敷料(Duoderm extrathin®)中的氢化松香引起的过敏性接触性皮炎。我们报告另一例32岁女性因康惠尔超薄型水胶体敷料(Duoderm extrathin®)导致过敏性接触性皮炎的病例。