A case of nickel allergy after endovascular aortic repair. (February 2019)

• Record Type: Journal Article
• Authors: Kawatani, Yohei; Kurobe, Hirotsugu; Nakamura, Yoshitsugu; Hori, Takaki
• Is Part Of: Asian cardiovascular & thoracic annals. Volume 27:Number 2(2019)
• Page Start: 114
• Page End: 117
• Publication Date: 2019-02
• Subjects: Aortic aneurysm abdominal -- Blood vessel prosthesis -- Dermatitis -- allergic contact -- Endovascular procedures -- Nickel; Heart -- Diseases -- Asia -- Periodicals; Heart -- Diseases -- Pacific Area -- Periodicals; Heart -- Diseases -- Periodicals; Heart -- Surgery -- Asia -- Periodicals; Heart -- Surgery -- Pacific Area -- Periodicals; Heart -- Surgery -- Periodicals; Chest -- Surgery -- Asia -- Periodicals; Chest -- Surgery -- Pacific Area -- Periodicals; Chest -- Surgery -- Periodicals; 617.412
• DOI: 10.1177/0218492318784736
• Languages: English
• ISSNs: 0218-4923

Abstract

A 78-year-old man with no history of allergy, underwent endovascular aortic repair for abdominal aortic aneurysm rupture. Postoperatively, he had low-grade fever and persistently raised white blood cell counts, but tests showed no infection. A skin rash appeared on the trunk and upper arms; we suspected a drug allergy. Despite withdrawal and/or change of medications, the symptoms remained. Finally, a patch test for nickel showed a strongly positive result. Oral prednisone 5 mg·day −1 was started, and the clinical findings resolved thereafter. No recurrence of allergy, infection, or exacerbation of the treated abdominal aortic aneurysm was noted at the 2-year follow-up.