Korean J Anesthesiol.  2004 Jan;46(1):114-118. 10.4097/kjae.2004.46.1.114.

Primary Irritant Dermatitis to Povidone-Iodine after Caudal Anesthesia: A Case Report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Abstract

Povidone-iodine (PVP-1) is a widely used antiseptic because of its low toxicity and germicidal effect. A 16 year old patient who had undergone incision and debridement of an anal abscess developed contact dermatitis on his buttocks postoperatively. The lesion had been exposed to a gauze immersed in a 10% povidone-iodine solution for 8 hours, but the skin around the surgical field directly painted with 10% povidone-iodine solution didn't show any effect. A patch test with povidone-iodine produced a negative response in this patient. These observations indicate that prolonged exposure to wet povidone-iodine is harmful. It is important that povidone-iodine be used carefully to prevent contact dermatitis.

Keyword

caudal anesthesia; irritant dermatitis; povidone-iodine

MeSH Terms

Abscess
Adolescent
Anesthesia, Caudal*
Buttocks
Debridement
Dermatitis, Contact
Dermatitis, Irritant*
Humans
Paint
Patch Tests
Povidone-Iodine*
Skin
Povidone-Iodine
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