Editor: V. Dimov, M.D., Allergist/Immunologist, Cleveland Clinic Florida, Clinical Associate Professor, FAU Charles E. Schmidt College of Medicine
Contact dermatitis can be either irritant or allergic. Surgery can induce both.
Exposure to irritants or allergens can happen before, during or after surgery:
1. Preoperative Contactants: Antiseptics, Skin pen markers, Anesthetics
2. Operative Contactants: Gloves, Metals
3. Postoperative Contactants: Sutures, Tissue adhesives, Staples, Topical antibiotics, Wound dressings (bandages)
Surgery-Related Contact Dermatitis: Contact Irritants and Allergens (click to enlarge the image).
Common causes of contact dermatitis (contactants) are remembered by the mnemonic:
Antiseptics - Not in TRUE/NACDG 65 patch!
Adhesives - Not in TRUE/NACDG 65 patch!
Accelerants in rubber gloves
Surgery-Related Contact Dermatitis: Contactants Mnemonic (click here to enlarge the image).
Surgery-Related Contact Dermatitis: A Review of Potential Irritants and Allergens