Prophylactic Intranasal Corticosteroids to Prevent Contact Dermatitis From Ambulatory ECG Monitor Adhesives: A Novel Strategy

Ambulatory electrocardiogram (AECG) monitors are frequently used to evaluate arrhythmias and assess symptom-rhythm correlation. The extended use of AECG monitors is limited by complications, such as allergic contact dermatitis, secondary to the adhesive. We present the case of a 70-year-old woman with newly diagnosed paroxysmal atrial fibrillation and a known adhesive allergy who developed an allergic contact dermatitis shortly after the application of an AECG monitor. After her symptoms were managed with a topical corticosteroid, fluticasone propionate nasal spray was used as a novel, off-label prophylaxis before the second application of the AECG monitor. The patient then tolerated the full 14-day study without issues, highlighting the potential of aerosolized corticosteroids as a prophylaxis for managing adhesive intolerance in patients requiring long-term AECG monitoring.