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Related Concept Videos

Allergic Reactions: Anaphylaxis01:30

Allergic Reactions: Anaphylaxis

Anaphylaxis is a severe, life-threatening hypersensitivity reaction mediated by Immunoglobulin E (IgE) antibodies. When IgE binds to allergens, it triggers the release of mediators– histamine, leukotrienes, and prostaglandins from mast cells and basophils. These mediators cause vasodilation, edema, and inflammation, leading to various symptoms.The primary allergens causing anaphylaxis include food items (e.g., peanuts, shellfish), drugs (e.g., penicillin, asparaginase, corticotropin, heparin),...
Drug Toxicity: Allergic Reactions01:30

Drug Toxicity: Allergic Reactions

Drug-related allergies are immune-mediated responses triggered by the administration of pharmacological agents. These hypersensitivity reactions are classified based on the immune mechanisms involved. The four primary types—Type I, II, III, and IV—are mediated by different immunological pathways and exhibit distinct clinical manifestations.Type I Hypersensitivity/ IgE-Mediated Reactions: Immunoglobulin E (IgE) immediately mediates Type I hypersensitivity reactions. Upon initial exposure to a...
Allergic Reactions02:06

Allergic Reactions

Overview
Hypersensitivity Reactions: Immune-Complex Reactions01:19

Hypersensitivity Reactions: Immune-Complex Reactions

Type III hypersensitivity reactions occur when antigen–antibody complexes form and activate the complement system. Normally, these complexes help the clearance of antigens by phagocytes and red blood cells. However, when large numbers of immune complexes are present, they can deposit in tissues—particularly in the walls of blood vessels—leading to inflammation and tissue injury. These deposits trigger complement activation and neutrophil recruitment, resulting in serum sickness, a systemic...
Allergic Drug Reactions01:27

Allergic Drug Reactions

Allergic reactions related to drugs are hypersensitivity responses driven by the immune system and bear no connection to the drug's therapeutic action. While drugs in isolation do not trigger an immune response, they can interact with endogenous proteins to form antigens. These antigens stimulate lymphocytes to produce antibodies. IgE-type antibodies attach themselves to mast cells. Upon subsequent exposure to the same stimulus, the antigen-antibody interaction is initiated, unleashing numerous...
Hypersensitivity Reactions: Delayed Hypersensitivity Reactions01:29

Hypersensitivity Reactions: Delayed Hypersensitivity Reactions

Delayed-Type Hypersensitivity (DTH), or Type IV hypersensitivity, is a cell-mediated immune response. It occurs when T cells, rather than antibodies, mediate a reaction to specific antigens. It is characterized by a delayed onset (1-2 days) and involves the recruitment of macrophages to the inflammation site.The initiation of a DTH response begins with the sensitization of T cells. During this phase, which lasts at least 1-2 weeks, antigen-specific T cells are activated, clonally expanded, and...

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Related Experiment Video

Updated: Jun 20, 2026

Granulocyte-dependent Autoantibody-induced Skin Blistering
12:23

Granulocyte-dependent Autoantibody-induced Skin Blistering

Published on: October 12, 2012

Severe allergic reaction to Dermabond.

Arthur W Perry1, Michael Sosin

  • 1Division of Plastic Surgery, Robert Wood Johnson Medical School, New Brunswick, NJ, USA. arthurwperrymd@mac.com

Aesthetic Surgery Journal
|September 1, 2009
PubMed
Summary

2-octyl cyanoacrylate, commonly known as Dermabond, is a popular wound closure adhesive. While usually safe, this article details a severe allergic reaction to Dermabond after breast augmentation surgery.

Area of Science:

  • Plastic Surgery
  • Dermatology
  • Allergy & Immunology

Background:

  • 2-octyl cyanoacrylate (Dermabond) is a widely utilized topical adhesive for surgical wound closure.
  • Its use is prevalent in various procedures, including cosmetic surgeries like breast augmentation and mastopexy.
  • Adverse events are typically linked to application errors rather than intrinsic adhesive properties.

Observation:

  • A patient experienced a severe allergic reaction subsequent to the application of Dermabond for wound closure.
  • The reaction occurred following a breast augmentation/mastopexy procedure.
  • This case highlights a rare but significant complication associated with the cyanoacrylate adhesive.

Findings:

  • The patient presented with signs of a severe allergic response attributed to Dermabond.

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Granulocyte-dependent Autoantibody-induced Skin Blistering
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06:31

Precision Implementation of Minimal Erythema Dose (MED) Testing to Assess Individual Variation in Human Inflammatory Response

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  • The allergic reaction was noted despite the generally favorable safety profile of topical adhesives.
  • This underscores the potential for idiosyncratic reactions to 2-octyl cyanoacrylate.
  • Implications:

    • Clinicians should be vigilant for rare allergic reactions to 2-octyl cyanoacrylate, even in routine applications.
    • Understanding potential adverse events is crucial for patient safety in plastic and reconstructive surgery.
    • This case emphasizes the need for thorough patient evaluation and monitoring for hypersensitivity to surgical adhesives.