A “Rash” Decision in Anesthetic Management: Benzyl Alcohol Allergy in the Perioperative Period
Here, we present the case of a 54-year-old female presenting for outpatient ankle hardware removal who experienced severe total body pruritus along with a maculopapular rash persisting four days after the procedure. Patch testing demonstrated a sensitivity to benzyl alcohol, a preservative in propof...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Case Reports in Anesthesiology |
| Online Access: | http://dx.doi.org/10.1155/2021/8859823 |
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| author | Michael Tripp Matthew Ribeiro Susanna Kmiecik Ramon Go |
| author_facet | Michael Tripp Matthew Ribeiro Susanna Kmiecik Ramon Go |
| author_sort | Michael Tripp |
| collection | DOAJ |
| description | Here, we present the case of a 54-year-old female presenting for outpatient ankle hardware removal who experienced severe total body pruritus along with a maculopapular rash persisting four days after the procedure. Patch testing demonstrated a sensitivity to benzyl alcohol, a preservative in propofol and several other anesthetics. The patient returned for left ankle arthroscopy a year later, and during that procedure, the anesthetic team avoided medications containing benzyl alcohol. This resulted in no pruritus or rash. Hypersensitivity reactions, ranging from contact dermatitis to anaphylaxis, are critical events in the perioperative period. Induction of general anesthesia has been implicated as the inciting event for perioperative hypersensitivity reactions. Benzyl alcohol is among a few excipients found in common anesthetic agents known to cause hypersensitivity reactions in susceptible patients. While reports of adult death are rare, infantile death due to benzyl alcohol has been described. |
| format | Article |
| id | doaj-art-d60df345475745fd9ad1c3119ee5d613 |
| institution | Kabale University |
| issn | 2090-6382 2090-6390 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Anesthesiology |
| spelling | doaj-art-d60df345475745fd9ad1c3119ee5d6132025-02-03T05:43:47ZengWileyCase Reports in Anesthesiology2090-63822090-63902021-01-01202110.1155/2021/88598238859823A “Rash” Decision in Anesthetic Management: Benzyl Alcohol Allergy in the Perioperative PeriodMichael Tripp0Matthew Ribeiro1Susanna Kmiecik2Ramon Go3Department of Anesthesiology, Medstar Georgetown University Medical Center, Washington, DC, USADepartment of Anesthesiology, Medstar Georgetown University Medical Center, Washington, DC, USADepartment of Anesthesiology, Medstar Georgetown University Medical Center, Washington, DC, USADepartment of Anesthesiology, Medstar Georgetown University Medical Center, Washington, DC, USAHere, we present the case of a 54-year-old female presenting for outpatient ankle hardware removal who experienced severe total body pruritus along with a maculopapular rash persisting four days after the procedure. Patch testing demonstrated a sensitivity to benzyl alcohol, a preservative in propofol and several other anesthetics. The patient returned for left ankle arthroscopy a year later, and during that procedure, the anesthetic team avoided medications containing benzyl alcohol. This resulted in no pruritus or rash. Hypersensitivity reactions, ranging from contact dermatitis to anaphylaxis, are critical events in the perioperative period. Induction of general anesthesia has been implicated as the inciting event for perioperative hypersensitivity reactions. Benzyl alcohol is among a few excipients found in common anesthetic agents known to cause hypersensitivity reactions in susceptible patients. While reports of adult death are rare, infantile death due to benzyl alcohol has been described.http://dx.doi.org/10.1155/2021/8859823 |
| spellingShingle | Michael Tripp Matthew Ribeiro Susanna Kmiecik Ramon Go A “Rash” Decision in Anesthetic Management: Benzyl Alcohol Allergy in the Perioperative Period Case Reports in Anesthesiology |
| title | A “Rash” Decision in Anesthetic Management: Benzyl Alcohol Allergy in the Perioperative Period |
| title_full | A “Rash” Decision in Anesthetic Management: Benzyl Alcohol Allergy in the Perioperative Period |
| title_fullStr | A “Rash” Decision in Anesthetic Management: Benzyl Alcohol Allergy in the Perioperative Period |
| title_full_unstemmed | A “Rash” Decision in Anesthetic Management: Benzyl Alcohol Allergy in the Perioperative Period |
| title_short | A “Rash” Decision in Anesthetic Management: Benzyl Alcohol Allergy in the Perioperative Period |
| title_sort | rash decision in anesthetic management benzyl alcohol allergy in the perioperative period |
| url | http://dx.doi.org/10.1155/2021/8859823 |
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