Conflict of interest: none declared.
Clinical dermatology •Concise report
Excision biopsy in a patient with suspected local anaesthetic allergy: use of 0.9% saline with benzyl alcohol as local anaesthesia
Version of Record online: 21 NOV 2012
© The Author(s). CED © 2012 British Association of Dermatologists
Clinical and Experimental Dermatology
Volume 37, Issue 8, pages 862–864, December 2012
How to Cite
Jolliffe, V. M. L. and Sinclair, R. D. (2012), Excision biopsy in a patient with suspected local anaesthetic allergy: use of 0.9% saline with benzyl alcohol as local anaesthesia. Clinical and Experimental Dermatology, 37: 862–864. doi: 10.1111/j.1365-2230.2012.04338.x
- Issue online: 21 NOV 2012
- Version of Record online: 21 NOV 2012
- Accepted for publication 27 November 2011
Dermatologists may see patients with actual or suspected local anaesthetic (LA) allergy who require an urgent dermatological procedure to be performed without time for formal allergy testing. We report a case of shave biopsy and subsequent excision biopsy of an atypical naevus performed using tumescent analgesia with 0.9% saline containing benzyl alcohol preservative. The tumescence itself and the benzyl alcohol present in the 0.9% saline solution provided sufficient analgesia for excision. This technique may be an option for managing urgent procedures in patients suspected or known to have allergy to LA.