Fingertip dermatitis in an ophthalmologist caused by proparacaine.

Liesegang, T J; Perniciaro, C · Am J Ophthalmol · 1999

case_report · Level V

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Abstract

To report the late diagnosis of allergic response to proparacaine hydrochloride in an ophthalmologist. Case report. In a 49-year-old practicing ophthalmologist, the history, clinical findings of fingertip dermatitis, skin pathology, and skin patch testing are described. Proparacaine, as the initiating agent, took almost 3 years to identify because of the unusual pattern of allergy. We explored numerous treatment options before identifying and removing the offending agent. Ophthalmologists may be exposed to proparacaine on a daily basis. This unique report heightens the awareness of this rare work-related complication.

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