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Delayed systemic allergic dermatitis following Essure insert: A case report
Tanja Baltus1, James Brown1, Imad Mahmoud2
1Department of Women's and Newborn Health, Westmead Hospital, Cnr Hawkesbury Road and Darcy Road, Western Sydney Local Health District, Westmead, NSW 2145, Australia.
Case Reports in Women'S Health
|September 19, 2018
Summary
Hypersensitivity reactions to the nickel in Essure permanent birth control are rare. A case report details a woman experiencing systemic contact dermatitis years after Essure insertion, highlighting nickel allergy as a serious complication.
Area of Science:
- Reproductive Medicine
- Allergy and Immunology
- Medical Device Complications
Background:
- The Essure micro-insert is a permanent birth control device containing nickel.
- Hypersensitivity reactions to medical device components can occur, though nickel allergy is rare in this context.
Observation:
- A 41-year-old woman presented with delayed systemic contact dermatitis four years post-Essure insertion.
- Nickel allergy was confirmed via patch testing, implicating the Essure device as the cause.
Findings:
- The patient's symptoms persisted after a bilateral salpingectomy but resolved completely following a hysterectomy.
- This case represents the fourth reported instance of hypersensitivity reaction to the nickel component of Essure.
Implications:
- Nickel allergy is a rare but significant complication associated with Essure.
- Healthcare providers should consider nickel hypersensitivity in patients experiencing unexplained systemic reactions after Essure placement.
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