Contact dermatitis presenting as non-healing wound

Case report

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Abstract. Topical antiseptics are commonly used in the management of minor wounds, burns, and infected skin. These agents are widely used by health professionals and are often self-prescribed by patients as they are easily available over-the-counter. This case illustrates a 73 year old man who presented with a non-healing wound on his right forearm for 4 weeks. The wound started from an insect bite and progressively enlarged with increasing pruritus and burning sensation. Clinically an ill-defined ulcer with surrounding erythema and erosion was noted. There was a yellow crust overlying the center of the ulcer and the periphery was scaly. Further inquiry revealed history of self treatment with a yellow solution to clean his wound for 3 weeks. Patient was provisionally diagnosed to have allergic contact dermatitis secondary to acriflavine. Topical acriflavine was stopped and the ulcer resolved after treatment with non-occlusive saline dressing. Skin patch test which is the gold standard for detection and confirmation of contact dermatitis showed a positive reaction (2+) to acriflavine. Acriflavine is widely used as a topical antiseptic agent in this part of the world. Hence, primary care physicians managing a large variety of poorly healing wounds should consider the possibility of contact allergy in recalcitrant cases, not responding to conventional treatment. Patient education is an important aspect of management as this would help curb the incidence of future contact allergies.

Original languageEnglish
Article number6
JournalAsia Pacific Family Medicine
Volume10
Issue number1
DOIs
Publication statusPublished - 2011

Fingerprint

Acriflavine
Contact Dermatitis
Ulcer
Local Anti-Infective Agents
Wounds and Injuries
Hypersensitivity
Insect Bites and Stings
Allergic Contact Dermatitis
Patch Tests
Primary Care Physicians
Patient Education
Erythema
Pruritus
Bandages
Skin Tests
Burns
Forearm
Wound Healing
Therapeutics
Skin

ASJC Scopus subject areas

  • Family Practice
  • Public Health, Environmental and Occupational Health

Cite this

Contact dermatitis presenting as non-healing wound : Case report. / Muthupalani, Leelavathi; Le, Yy; Tohid, Hizlinda; Hasliza, Ah.

In: Asia Pacific Family Medicine, Vol. 10, No. 1, 6, 2011.

Research output: Contribution to journalArticle

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