3 - Topical Agents for Haemostasis and Hyperhidrosis Flashcards
Aluminium chloride, Ferric subsulfate (Monsel’s solution) and silver nitrate are haemostatic agents
True
Aluminium chloride is also used in hyperhidrosis
True
Aluminium chloride reversibly inhibits eccrine gland secretion by obstructing the eccrine pores and inducing transient secretory cell atrophy
True
Aluminium chloride creates a low grade generation of thrombin which is followed by activation of the platelet-dependent clotting factor XI to XIa
True
Aluminium chloride does not cause scarring when used as a haemostatic agent
True (does not cause scarring, unlike electrocautery)
Monsel’s solution (ferric subsulfate) leaves an iron residue that can persist in the dermis and is less preferred than aluminium chloride as a haemostatic agent
True
Aluminium chloride may cause an irritant contact dermatitis
True
Aluminium chloride may cause burning
True
Aluminium chloride may cause a prickling sensation
True
Aluminium chloride should be used with caution near the eye
True
Aluminium chloride is flammable if not allowed to dry completely before electrocautery
True
Aluminium chloride used for hyperhidrosis should be applied to dry skin
True
Monsel’s solution (ferric subsulfate) acts as a precipitating agent
True (the coagulated protein mechanically seals the small blood vessels)
The application of Monsel’s solution (ferric subsulfate) may result in hyperpigmentation and iatrogenic tattooing
True
Monsel’s solution (ferric subsulfate) is no longer used in dermatology
True (other haemostatic methods are preferred)