Recurring eczema during pregnancy and after delivery due to sensitization caused by an ultrasound gel

“…Only a few case reports have been published. In one, anaphylaxis with angiooedema was reported . Most of the manufacturers note that the gel is hypoallergenic, and do not list the components of the gel.…”

Section: Discussionmentioning

confidence: 99%

Allergic contact dermatitis caused by ultrasonic gel: is this possible for a hypoallergenic gel?

et al. 2016

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“…3 Some reactions might be confounded by unrecognized latex allergy due to gloved sonographers, but the reports with patch and other allergy testing to CUG components would be able to discern this confounding influence. CUG contains numerous potential allergens, but the most common ones are propylene glycol (PG), 4,9 polypropylene glycol, 7 parabens, 4,8 dyes, fragrance, moisturizers, 7 and methyldibromo glutaronitrile. 10 The incidence of PG allergy varies from 0.1% to 3.8% in various study populations.…”

Section: Discussionmentioning

confidence: 99%

“…CUGs marked as “hypoallergenic” may nonetheless contain PG and induce reactions. 7 Patients without previous ultrasound gel exposure may nonetheless have been sensitized in the past by the ubiquitous use of PG and other CUG components in household products, cosmetics, and pharmaceuticals. 7…”

Section: Discussionmentioning

confidence: 99%

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Allergy and Other Risks of Ultrasound Gel: Recognition and Alternative Coupling Agents

Mueller¹,

Theoharis²

2013

Journal for Vascular Ultrasound

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We recently encountered a patient who required urgent leg venous ultrasound. The patient warned us of a previous severe allergic reaction to ultrasound gel, an uncommon problem without a defined prevalence (according to our searches for literature on PubMed, Google Scholar, and uptodate.com). The reaction was so severe that he permitted ultrasound only if an alternative agent could be used. We recalled both that allergy to gel is possible and that mineral oil could be used as a coupling agent in such cases and purchased a bottle on the spot while the patient waited. The clinical flexibility of switching to an alternative coupling agent turned out to be potentially life-saving because the patient was found to have an extensive deep venous thrombosis of the common femoral, femoral, deep femoral, popliteal, and gastrocnemius veins. This case report details this patient's course; reviews the potential adverse effects of ultrasound gel, proven and theoretical; demonstrates the excellent imaging characteristics of a large number of alternative coupling agents that we tested on our patient as well as another subject; and describes strategies for prevention and management of adverse effects. Although isolated case reports were found by literature search regarding use of alternative ultrasound coupling agents, we have found no review article or study evaluating as many agents as we have.

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Current awareness: Pharmacoepidemiology and drug safety

2009

Pharmacoepidemiology and Drug

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In order to keep subscribers up‐to‐date with the latest developments in their field, John Wiley & Sons are providing a current awareness service in each issue of the journal. The bibliography contains newly published material in the field of pharmacoepidemiology and drug safety. Each bibliography is divided into 23 sections: 1 Reviews; 2 General; 3 Anti‐infective Agents; 4 Cardiovascular System Agents; 5 CNS Depressive Agents; 6 Non‐steroidal Anti‐inflammatory Agents; 7 CNS Agents; 8 Anti‐neoplastic Agents; 9 Haematological Agents; 10 Neuroregulator‐Blocking Agents; 11 Dermatological Agents; 12 Immunosuppressive Agents; 13 Autonomic Agents; 14 Respiratory System Agents; 15 Neuromuscular Agents; 16 Reproductive System Agents; 17 Gastrointestinal System Agents; 18 Anti‐inflammatory Agents ‐ Steroidal; 19 Teratogens/fetal exposure; 20 Antidiabetic Agents; 21 Contrast Agents; 22 Bone Conservation Agents; 23 Others. Within each section, articles are listed in alphabetical order with respect to author. If, in the preceding period, no publications are located relevant to any one of these headings, that section will be omitted.

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Recurring eczema during pregnancy and after delivery due to sensitization caused by an ultrasound gel

Cited by 5 publications

References 5 publications

Allergic contact dermatitis caused by ultrasonic gel: is this possible for a hypoallergenic gel?

Allergic contact dermatitis caused by ultrasonic gel: is this possible for a hypoallergenic gel?

Allergy and Other Risks of Ultrasound Gel: Recognition and Alternative Coupling Agents

Current awareness: Pharmacoepidemiology and drug safety

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