Division of Allergy, Asthma and Immunology, Scripps Clinic, San Diego, Calif.
Division of Allergy, Asthma and Immunology, Scripps Clinic, San Diego, Calif.
J Allergy Clin Immunol Pract. 2017 Sep-Oct;5(5):1234-1240. doi: 10.1016/j.jaip.2017.03.001. Epub 2017 Apr 7.
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.
手术过程中使用了越来越多的医疗产品，包括消毒剂、麻醉剂、手套、缝合材料、组织粘合剂、局部抗生素和绷带。其中许多产品都有刺激性。也有报道称出现了过敏性接触性皮炎。这篇综述涵盖了可能导致接触性皮炎的术前、术中和术后暴露。使用标准贴斑测试，如 T.R.U.E. Test 和北美接触性皮炎组 65 种过敏原系列，无法评估所有相关的接触物。彻底了解潜在的接触物对于有效评估与手术相关的接触性皮炎患者至关重要。需要采用系统的方法来确保标准贴斑和补充贴斑充分解决遇到的每个接触物。
