Delayed Onset Icodextrin Induced Exfoliative Dermatitis

We report a case of a 69 year old female with Chronic Kidney Disease and Coronary Artery Disease (DVD) on regular Automated peritoneal dialysis(10 Litres of 2.5% Dextrose exchanges at night )who was admitted for planned PTCA. Her PD prescription was modified with add on icodextrin 7.5% as day dwell in view of insufficient ultrafiltration with APD. The patient developed pruritic maculopapular rash which progressed to generalised exfoliative dermatitis 3 days after stoppage of Icodextrin. Peripheral blood eosinophilia was noted. Late onset Exfoliative dermatitis is a rare complication of Icodextrin based PD. Awareness of this entity is important for nephrologists and dermatologists to avoid misdiagnosis.