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Observational Study
. 2021 Feb;84(2):103-108.
doi: 10.1111/cod.13700. Epub 2020 Sep 29.

Allergic contact dermatitis due to the liquid skin adhesive Dermabond® predominantly occurs after the first exposure

Chika Asai  1 , Naoko Inomata  1 , Megumi Sato  1 , Nao Koh  1 , Seiko Goda  1 , Hideyuki Ishikawa  1 , Masako Tanaka  1 , Michiko Aihara  1
Affiliations
Observational Study

Allergic contact dermatitis due to the liquid skin adhesive Dermabond® predominantly occurs after the first exposure

Chika Asai et al. Contact Dermatitis. 2021 Feb.

Abstract

Background: The clinical characteristics of patients with allergic contact dermatitis (ACD) due to a skin adhesive containing 2-octyl cyanoacrylate, Dermabond®, have not yet been elucidated.

Objective: To investigate the clinical characteristics of patients with ACD caused by Dermabond® application.

Methods: In this retrospective study, 577 patch tested patients were included. We identified patients with positive patch test results for Dermabond® and evaluated their results concerning (meth)acrylates and ethyl cyanoacrylate adhesive.

Results: Nine patients had positive patch test results to Dermabond®; six had developed secondary generalization.The mean time between Dermabond® application and ACD onset was 34 days (range, 27-44) in six patients with ACD after the first use, whereas, in the other three patients, it was 5.6 days (range, 4-8) after the second use. The time was significantly different between the two groups (P < .01). Positive reactions to ethyl cyanoacrylate adhesive (Aron Alpha) occurred in seven of nine patients, to ethyl cyanoacrylate 10% pet. in four of eight patients tested, and to 2-hydroxyethyl methacrylate in one of eight patients tested.

Conclusions: Dermabond®-induced ACD is apparently characterized by a high prevalence of primary sensitization at first exposure to Dermabond®, secondary generalization is frequent, and most patients show cross-reactivity to ethyl cyanoacrylate.

Keywords: 2-octyl cyanoacrylate; Dermabond®; allergic contact dermatitis; ethyl cyanoacrylate; gel nails, (meth)acrylate; tissue adhesive.

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References

REFERENCES

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