A case of allergic contact dermatitis due to application of synthetic casting which mimics the manifestation of cellulitis

Casting application is one of the essential aspects with respect to conservative treatment of fractures in Orthopaedics and it may be applied after surgical treatment when needed. In the recent years, common use of synthetic cast (45% polyurethane resin and 55% fiberglass) and also undercast cotton padding (synthetic fiber) caused an increased incidence of allergic contact dermatitis. It may develop an allergic reaction progressing accompanied by eruptions and itching as commonly experienced in our daily orthopaedic practice. We have pre sented a case of allergic contact dermatitis which mimics an unusual manifestation of cellulitis in routine clinical practice.

Kaynakça

1. Halanski M, Noonan KJ. Cast and splint immobilization: complications. J Am Acad Orthop Surg 2008; 16: 30-40.

2. Clarke AM, Winson IG. Does plaster immobilization predispose to pulmonary embolism? Injury 1992; 23: 533-534.

3. Halanski MA, Halanski AD, et al. Thermal injury with contemporary cast-application techniques and methods to circumvent morbidity. J Bone Joint Surg Am 2007; 89: 2369-2377.

4. Belsito DV. Allergic Contact Dermatitis. In: Fitzpatrick TB, Fredberg TM, Eisen AZ, Wolff K, Austen FK, Goldsmith LA, Katz S editors. Dermatology in General Medicine, 5th ed. New York: Mc Graw Hill 1999; p. 1447-1461.

5. Marks JG, Elsner P, Deleo VA. Contact&Occupational Dermatology. 3rd ed. St. Louis: Mosby 2002; p.3-15.

6. Krasteva M, Kehren J, Sayag M, et al. Contact dermatitis II. Clinical aspects and diagnosis. Eur J Dermatol 1999; 9: 144-159.

7. Kadyk Dl, McCarter K, Achen F, Belsito DV. Quality of life in patients with allergic contact dermatitis. J Am Acad Dermatol 2003; 49: 1037- 1048.

8. Li LY, Cruz PD. Allergic contact dermatitis: pathophysiology applied to future therapy. Dermatologic Therapy 2004; 17: 219-223.

9. Aydemir EH. Allergic contact dermatitis. Türkiye Klinikleri 2005; 1: 19-21.

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