Robinson J, Smidt KP, Houk G, McKie J, Barton RS, Massey P. Allergic dermatitis after knee arthroscopy with repeated exposure to Dermabond Prineo™ in pediatric patients: Two case reports. World J Orthop 2021; 12(11): 931-937 [PMID: 34888153 DOI: 10.5312/wjo.v12.i11.931]
Corresponding Author of This Article
Patrick Massey, MD, Director, Department of Orthopaedic Surgery, Louisiana State University, 1501 Kings Highway, Shreveport, LA 71103, United States. pmasse@lsuhsc.edu
Research Domain of This Article
Orthopedics
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Orthop. Nov 18, 2021; 12(11): 931-937 Published online Nov 18, 2021. doi: 10.5312/wjo.v12.i11.931
Allergic dermatitis after knee arthroscopy with repeated exposure to Dermabond Prineo™ in pediatric patients: Two case reports
James Robinson, Kevin P Smidt, Garrett Houk, Janay McKie, R Shane Barton, Patrick Massey
James Robinson, Kevin P Smidt, R Shane Barton, Patrick Massey, Department of Orthopaedic Surgery, Louisiana State University, Shreveport, LA 71103, United States
Garrett Houk, School of Medicine, Louisiana State University, Shreveport, LA 71103, United States
Janay McKie, Department of Orthopaedic Surgery, Shriners Hospital for Children, Shreveport, LA 71103, United States
Author contributions: Robinson J, Smidt KP, Houk G, and Massey P drafted and revised the manuscript; McKie J, Massey P, and Barton RS supervised data collection, project progression and contributed to topic conceptualization; all authors issued final approval upon submission of the manuscript.
Informed consent statement: This project was undertaken as a case report at Shriners Hospital for Children and, as such, did not formally require further investigation by an Institutional Review Board. All patients and their families were informed that the data concerning their cases would be submitted for publication, and they provided consent.
Conflict-of-interest statement: The authors declare no conflict of interest.
CARE Checklist (2016) statement: The authors have read and reviewed the CARE Checklist (2016), and the manuscript was prepared and revised in compliance with the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Patrick Massey, MD, Director, Department of Orthopaedic Surgery, Louisiana State University, 1501 Kings Highway, Shreveport, LA 71103, United States. pmasse@lsuhsc.edu
Received: April 30, 2021 Peer-review started: April 30, 2021 First decision: July 28, 2021 Revised: August 9, 2021 Accepted: September 19, 2021 Article in press: September 19, 2021 Published online: November 18, 2021 Processing time: 199 Days and 7.7 Hours
Abstract
BACKGROUND
Allergic contact dermatitis (ACD) secondary to Dermabond Prineo™ is rare, but documented. To our knowledge, there are no described reports of this ACD reaction within the pediatric population following arthroscopic surgery.
CASE SUMMARY
We report two cases of pediatric ACD upon second exposure to Dermabond Prineo™ after knee arthroscopy. Both cases presented within two weeks of the inciting second exposure. The cases resolved with differing described combinations of sterile cleaning, diphenhydramine, and antibiotic administration. No long-term sequelae were found.
CONCLUSION
This case report elucidates the rare complication of allergic dermatitis secondary to Dermabond Prineo™ repeat exposure use in pediatric arthroscopy.
Core Tip: Dermabond Prineo™ has shown to be advantageous as a wound closure device with regards to operative efficiency, cosmetic results, and decreased postoperative restrictions. With the increased use of Prineo™ as a wound closure alternative, surgeons should be aware of potential risks, especially in cases with previous exposure to Dermabond™ or Prineo™. Both cases in this series resolved with differing described combinations of sterile cleaning, diphenhydramine, and antibiotic administration.
