Ann Dermatol.  2011 Dec;23(Suppl 3):S387-S389. 10.5021/ad.2011.23.S3.S387.

A Case of Allergic Contact Dermatitis Due to DuoDERM Extrathin(R)

• Suhng EA
• Byun JY
• Choi YW
• Myung KB
• Choi HY

• KMID: 2171879
• DOI: http://doi.org/10.5021/ad.2011.23.S3.S387

Abstract

Over the past years, hydrocolloid dressings have been introduced routinely in the treatment of various types of wounds. They provide a moist environment promoting autolytic debridement, and stimulate angiogenesis. However, long-term application often leads to inflammation of the skin in the immediate area of the ulcer, causing irritant dermatitis in many cases, but sometimes also leads to contact sensitization. A 32 year-old woman burnt herself by an iron, and presented to our clinic and was treated with Duoderm extrathin(R). Nine days later, she again presented with an erythematous oozing patch with edema, and allergic contact dermatitis was suspected. A patch test (TRUE test) was performed and a positive reaction to colophonium was obtained. Duoderm extrathin(R) contains hydrogenated rosin (colophonium) as the tackifying agent, so we could diagnose this case as allergic contact dermatitis due to the hydrogenated rosin in Duoderm extrathin(R). We report another case of allergic contact dermatitis due to Duoderm extrathin(R) in a 32 year-old woman.

Keyword

Allergic contact dermatitis; Colophony

MeSH Terms

Bandages, Hydrocolloid
Debridement
Dermatitis, Allergic Contact
Dermatitis, Irritant
Edema
Female
Humans
Hydrogen
Inflammation
Iron
Patch Tests
Resins, Plant
Skin
Ulcer
Hydrogen
Iron
Resins, Plant

Figure

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  Fig. 1 A well-demarcated erythematous vesicular patch was observed on the shin.

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  Fig. 2 Positive reaction to colophony in the patch test. Ninety six hours later, an erythematous patch with vesicles and papules was seen on the colophony site.

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