Case Reports | Challenge Journal of Perioperative Medicine

Spinal anesthesia in a patient with Darier’s disease: A case report

Ibrahim Boga, Tuba Can


DOI: https://doi.org/10.20528/cjpm.2023.01.006
View Counter: Abstract | 280 times | ‒ Full Article | 134 times |

Full Text:

PDF

Abstract


Darier’s Disease (Darier-White Disease, keratosis follicularis) is a rare genodermatosis characterized by keratinisation defects that affects the skin, nails and mucosal membranes; it is autosomal and dominantly inherited. To the best of our knowledge, only one case has been reported regarding spinal anesthesia management in a patient suffering from Darier’s disease—this was during Cesarean section. Here, we describe a case of spinal anesthesia with standard skin preparation for inguinal hernia surgery in a Darier’s patient. Spinal anesthesia is a safe anesthesia choice when administered in lesion-free areas.


Keywords


Darier’s disease; neuraxial anesthesia; spinal anesthesia

References


Quinlivan JA, O’Halloran LC. Dariers disease and pregnancy. Dermatol Asp. 2013;1(1):2.

Cooper SM, Burge SM. Darier’s disease: epidemiology, pathophysiology, and management. Am J Clin Dermatol. 2003;4(2):97–105.

Sehgal VN, Srivastava G. Darier’s (Darier-White) disease/keratosis follicularis. Int J Dermatol. 2005 Mar;44(3):184–92.

Sharma R, Singh BP, Das SN. Anesthetic management of cesarean section in a parturient with Darier’s disease. Acta Anaesthesiol Taiwan. 2010 Sep;48(3):158–9.

Tang C, Chan M, Lee J, Hariram J. Darier’s disease and schizophrenia. East Asian Arch Psychiatry. 2010 Dec;20(4):190–2.

Scott M, Stones J, Payne N. Antiseptic solutions for central neuraxial blockade: which concentration of chlorhexidine in alcohol should we use? Br J Anaesth. 2009 Sep;103(3):456; author reply 456–7.

Saha S. Antiseptic solutions for central neuraxial blockade: which concentration of chlorhexidine to use? Br J Hosp Med . 2014 May;75(5):298.


Refbacks

  • There are currently no refbacks.