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全膝关节置换术后伤口敷料中硫酸银引起的过敏性接触性皮炎:1例罕见病例

Allergic Contact Dermatitis Caused by Silver Sulfate Present in the Wound Dressing Following Total Knee Arthroplasty: An Unusual Case.

作者信息

Mohammed Alshareef Hatim, Abed Alharbi Waheeb, Khalaf N Aljabbab Naeem, Alkhotani Mohammed A, Bogari Hassan O, Elbarbary Ahmed

机构信息

Orthopedic Surgery, King Fahad Armed Forces Hospital, Jeddah, SAU.

Orthopedic Surgery, King Abdulaziz University Hospital, Jeddah, SAU.

出版信息

Cureus. 2025 May 18;17(5):e84351. doi: 10.7759/cureus.84351. eCollection 2025 May.

DOI:10.7759/cureus.84351
PMID:40530235
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12173468/
Abstract

Total knee arthroplasty (TKA) is a widely performed orthopedic surgical procedure for severe cases of osteoarthritis, providing significant pain relief and improved function. Here, we report a case of a 55-year-old female who underwent TKA on her left knee and presented later with erythema, itching, and burning sensation on the left knee, raising a suspicion of allergic contact dermatitis (ACD) following the use of a silver sulfate-containing wound dressing after TKA. The patient was managed successfully with a conservative approach, receiving medical treatment after the allergy was reported, and was discharged with only minimal neurological residuals. Although ACD to silver sulfate is uncommon, maintaining a high index of suspicion, supported by comprehensive history taking and examination, is crucial for early detection and effective management to mitigate potential complications.

摘要

全膝关节置换术(TKA)是一种广泛应用于严重骨关节炎病例的骨科手术,能显著缓解疼痛并改善功能。在此,我们报告一例55岁女性患者,她接受了左膝TKA手术,术后左膝出现红斑、瘙痒和烧灼感,怀疑是TKA术后使用含硫酸银伤口敷料引发的过敏性接触性皮炎(ACD)。该患者通过保守治疗成功治愈,报告过敏后接受了药物治疗,出院时仅有轻微神经功能残留。尽管对硫酸银的ACD并不常见,但通过全面的病史采集和检查保持高度怀疑指数,对于早期发现和有效管理以减轻潜在并发症至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b63b/12173468/beb6997f928d/cureus-0017-00000084351-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b63b/12173468/4877ce577ca2/cureus-0017-00000084351-i01.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b63b/12173468/c97e63573b89/cureus-0017-00000084351-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b63b/12173468/2a9021455e02/cureus-0017-00000084351-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b63b/12173468/62a18fb6444f/cureus-0017-00000084351-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b63b/12173468/beb6997f928d/cureus-0017-00000084351-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b63b/12173468/4877ce577ca2/cureus-0017-00000084351-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b63b/12173468/20ba5c47a480/cureus-0017-00000084351-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b63b/12173468/4fcb41bf0601/cureus-0017-00000084351-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b63b/12173468/c97e63573b89/cureus-0017-00000084351-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b63b/12173468/2a9021455e02/cureus-0017-00000084351-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b63b/12173468/62a18fb6444f/cureus-0017-00000084351-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b63b/12173468/beb6997f928d/cureus-0017-00000084351-i07.jpg

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本文引用的文献

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Dermatol Pract Concept. 2024 Oct 30;14(4):e2024231. doi: 10.5826/dpc.1404a231.
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Beneficial Effect of Wound Dressings Containing Silver and Silver Nanoparticles in Wound Healing-From Experimental Studies to Clinical Practice.含银及银纳米颗粒的伤口敷料在伤口愈合中的有益作用——从实验研究到临床实践
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Contact Dermatitis. 2009 Aug;61(2):120-2. doi: 10.1111/j.1600-0536.2009.01566.x.