A case report of allergic eczematoid dermatitis around hemodialysis access due to iodine-containing disinfectant

We report here a case of allergic eczematoid dermatitis related to hemodialysis access. The patient was initially suspected to have puncture needle allergies or dialyzer reactions until the patient develops a similar response after switching from an arteriovenous fistula (AVF) to a tunneled cuffed c...

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Main Authors: Xiaomei Lu, Jing He, Liansheng Ren, Rong Yang, Shuhuan Liu, Jingying Bai, Yueqiu Tang, Yi Zeng, Yunmin Wang, Wei Zhang, Dan Zhu
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-07-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2025.1627179/full
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author Xiaomei Lu
Jing He
Liansheng Ren
Rong Yang
Shuhuan Liu
Jingying Bai
Yueqiu Tang
Yi Zeng
Yunmin Wang
Wei Zhang
Dan Zhu
author_facet Xiaomei Lu
Jing He
Liansheng Ren
Rong Yang
Shuhuan Liu
Jingying Bai
Yueqiu Tang
Yi Zeng
Yunmin Wang
Wei Zhang
Dan Zhu
author_sort Xiaomei Lu
collection DOAJ
description We report here a case of allergic eczematoid dermatitis related to hemodialysis access. The patient was initially suspected to have puncture needle allergies or dialyzer reactions until the patient develops a similar response after switching from an arteriovenous fistula (AVF) to a tunneled cuffed catheter (TCC) for dialysis. Thereby, we highly suspected that the allergen was the iodine-containing disinfectant used prior to dialysis, and the patient was ultimately diagnosed with iodine-containing disinfectant allergy. The patient’s dermatitis improved remarkably after switching to alcohol disinfection as well as taking oral steroids. Early identification and diagnosis of allergic reactions at the vascular access site can avoid contacting with allergens, accordingly prevent complications like infection and loss of precious vascular accesses in these patients.
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institution DOAJ
issn 1664-3224
language English
publishDate 2025-07-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Immunology
spelling doaj-art-0b80b72ccc3749a4ace542f2db505de82025-08-20T03:09:12ZengFrontiers Media S.A.Frontiers in Immunology1664-32242025-07-011610.3389/fimmu.2025.16271791627179A case report of allergic eczematoid dermatitis around hemodialysis access due to iodine-containing disinfectantXiaomei Lu0Jing He1Liansheng Ren2Rong Yang3Shuhuan Liu4Jingying Bai5Yueqiu Tang6Yi Zeng7Yunmin Wang8Wei Zhang9Dan Zhu10Department of Endocrine Nephrology, 363 Hospital, Chengdu, Sichuan, ChinaCenter for Endemic Disease Control, Chinese Center for Disease Control and Prevention, Harbin Medical University, National Health Commission & Education Bureau of Heilongjiang Province, Key Laboratory of Etiology and Epidemiology, Harbin Medical University, Center for Chronic Disease Prevention and Control, Harbin Medical University, Harbin, ChinaDepartment of Endocrine Nephrology, 363 Hospital, Chengdu, Sichuan, ChinaDepartment of Endocrine Nephrology, 363 Hospital, Chengdu, Sichuan, ChinaDepartment of Endocrine Nephrology, 363 Hospital, Chengdu, Sichuan, ChinaCenter for Endemic Disease Control, Chinese Center for Disease Control and Prevention, Harbin Medical University, National Health Commission & Education Bureau of Heilongjiang Province, Key Laboratory of Etiology and Epidemiology, Harbin Medical University, Center for Chronic Disease Prevention and Control, Harbin Medical University, Harbin, ChinaDepartment of Endocrine Nephrology, 363 Hospital, Chengdu, Sichuan, ChinaDepartment of Endocrine Nephrology, 363 Hospital, Chengdu, Sichuan, ChinaDepartment of Endocrine Nephrology, 363 Hospital, Chengdu, Sichuan, ChinaCenter for Endemic Disease Control, Chinese Center for Disease Control and Prevention, Harbin Medical University, National Health Commission & Education Bureau of Heilongjiang Province, Key Laboratory of Etiology and Epidemiology, Harbin Medical University, Center for Chronic Disease Prevention and Control, Harbin Medical University, Harbin, ChinaDepartment of Endocrine Nephrology, 363 Hospital, Chengdu, Sichuan, ChinaWe report here a case of allergic eczematoid dermatitis related to hemodialysis access. The patient was initially suspected to have puncture needle allergies or dialyzer reactions until the patient develops a similar response after switching from an arteriovenous fistula (AVF) to a tunneled cuffed catheter (TCC) for dialysis. Thereby, we highly suspected that the allergen was the iodine-containing disinfectant used prior to dialysis, and the patient was ultimately diagnosed with iodine-containing disinfectant allergy. The patient’s dermatitis improved remarkably after switching to alcohol disinfection as well as taking oral steroids. Early identification and diagnosis of allergic reactions at the vascular access site can avoid contacting with allergens, accordingly prevent complications like infection and loss of precious vascular accesses in these patients.https://www.frontiersin.org/articles/10.3389/fimmu.2025.1627179/fullhemodialysisarteriovenous fistulaallergic eczematoid dermatitisiodine-containing disinfectanttunneled cuffed catheter
spellingShingle Xiaomei Lu
Jing He
Liansheng Ren
Rong Yang
Shuhuan Liu
Jingying Bai
Yueqiu Tang
Yi Zeng
Yunmin Wang
Wei Zhang
Dan Zhu
A case report of allergic eczematoid dermatitis around hemodialysis access due to iodine-containing disinfectant
Frontiers in Immunology
hemodialysis
arteriovenous fistula
allergic eczematoid dermatitis
iodine-containing disinfectant
tunneled cuffed catheter
title A case report of allergic eczematoid dermatitis around hemodialysis access due to iodine-containing disinfectant
title_full A case report of allergic eczematoid dermatitis around hemodialysis access due to iodine-containing disinfectant
title_fullStr A case report of allergic eczematoid dermatitis around hemodialysis access due to iodine-containing disinfectant
title_full_unstemmed A case report of allergic eczematoid dermatitis around hemodialysis access due to iodine-containing disinfectant
title_short A case report of allergic eczematoid dermatitis around hemodialysis access due to iodine-containing disinfectant
title_sort case report of allergic eczematoid dermatitis around hemodialysis access due to iodine containing disinfectant
topic hemodialysis
arteriovenous fistula
allergic eczematoid dermatitis
iodine-containing disinfectant
tunneled cuffed catheter
url https://www.frontiersin.org/articles/10.3389/fimmu.2025.1627179/full
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