Moret Fabienne, Lindner Gregor, Woitok Bertram K
Department of General Internal and Emergency Medicine, Buergerspital Solothurn, Solothurn, Switzerland.
Case Rep Emerg Med. 2020 Jan 30;2020:2058624. doi: 10.1155/2020/2058624. eCollection 2020.
Alkyl nitrites or "poppers" are widely used as sex-drugs due to their aphrodisiac and muscle relaxant effects. We describe the rare case of a large-sized dermatitis after direct skin contact with the poppers-fluid in a poppers user. . A 52-year-old patient presented to the emergency department due to burning pain on his proximal right thigh and scrotum. Clinical examination showed an 8 × 5 cm measuring burning wound resembling lesion. During further history the patient mentioned that the day before presentation a "poppers" phial unintentionally opened in his pocket and the fluid leaked.
The present case shows severe skin defects after skin-contact with alkyl nitrates in a "poppers" user. Maculopathy and methemoglobinemia are prominent unwanted side effects of "poppers" use. However, our report demonstrates that attention should also be paid to potential harm for the skin.
亚硝酸烷基酯或“Poppers”因具有催情和肌肉松弛作用而被广泛用作性药。我们描述了一例Poppers使用者因皮肤直接接触Poppers液体后出现大面积皮炎的罕见病例。一名52岁患者因右大腿近端和阴囊灼痛就诊于急诊科。临床检查发现一个8×5厘米大小类似烧伤伤口的皮损。在进一步询问病史时，患者提到就诊前一天，一个“Poppers”药瓶在他口袋里意外打开，液体漏出。
本病例显示一名“Poppers”使用者皮肤接触硝酸烷基酯后出现严重皮肤缺损。黄斑病变和高铁血红蛋白血症是使用“Poppers”的突出不良副作用。然而，我们的报告表明，也应注意其对皮肤的潜在危害。
