A 30-year-old man developed an itchy erythemato-edematous vesicular lesion around his surgical wound on the fourth postoperative week (Fig. A). A routine blood test at the first outpatient clinic follow-up (4 weeks postoperatively) showed: WBC, 9500/μL; ESR, 12 mm/h; and CRP, 0.1 mg/dL. The patient was referred to the dermatologic clinic where he was diagnosed with contact dermatitis and skin infection, and prescribed oral antibiotics for 3 days and a local steroid ointment. The patient's pruritis resolved 2 weeks later (Fig. B), and the skin lesions resolved after 4 weeks of treatment (Fig. C).
A 31-year-old Caucasian woman with a BMI of 24.2 with no history of allergic contact dermatitis or drug allergy () was prepped with chlorhexidine gluconate and the following sutures were utilized: deep polyglactin 910, subcuticular poliglecaprone 25, polyglactin 910, and rapidly absorbing plain gut for the nipple. Five days later, there was no rash. Twenty-three days later, a pruritic, erythematous rash along the intramammary incision was noted. Diphenhydramine did not alleviate symptoms. The remaining DERMABOND PRINEO Skin Closure System was removed. The patient was given prednisone and scheduled with dermatology. One month later, the rash had resolved.