• Dermatitis · Jun 2006

    Case Reports

    Allergic contact dermatitis from EMLA cream in a hemodialyzed patient.

    • Lidia-Comba Pérez-Pérez, Virginia Fernández-Redondo, Manuel Ginarte-Val, Carmen Paredes-Suárez, and Jaime Toribio.
    • Department of Dermatology, Complejo Hospitalario Universitario, Faculty of Medicine, Santiago de Compostela, Spain.
    • Dermatitis. 2006 Jun 1; 17 (2): 85-7.

    AbstractThe eutectic mixture EMLA cream has many medical uses, including pain relief for hemodialyzed patients prior to cannulation. Cutaneous side effects associated with its application have rarely been reported. A patient on hemodialysis developed an itchy eruption over his brachial arteriovenous fistula, where he was applying EMLA cream three times per week, prior to puncture for hemodialysis. Patch testing elicited a positive reaction to several allergens, including EMLA cream "as is" and prilocaine. The lesions resolved after topical treatment with corticosteroids.

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