Abstract
Albeit uncommon occurrence, irritant contact dermatitis induced by povidone iodine can be an unfortunate adverse reaction complicating its use as an antiseptic. We hereby present the case report of a patient who suffered such a reaction as a result of exposure to povidone iodine, employed as an antiseptic during spinal anesthesia. On conservative management with soframycin ointment, the lesions resembling chemical burns healed in a month without extensive scarring or other complications.
Highlights
Use of iodine as an antiseptic has gone into disrepute as a result of its short lasting action and irritant properties
Characteristic features of the lesion like the localization to the area of exposure to povidone iodine, extension of lesions to the region of skin folds along the flank due to gravitation of solution during the process of painting served as strong factors in supporting the Murthy and Krishnamurthy: Severe irritant contact dermatitis diagnosis of povidone iodine-induced irritant contact dermatitis
Even though povidone iodine is classified as a non-irritant antiseptic, it is not completely devoid of corrosive action
Summary
Use of iodine as an antiseptic has gone into disrepute as a result of its short lasting action and irritant properties. Strong solution of iodine is corrosive and can cause blistering and necrosis of skin, commonly referred to as chemical burns or irritant contact dermatitis.
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