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.
A 62-year-old woman developed an erythemato-edematous and vesicular lesion around her surgical wound on the sixth postoperative week (Fig. ). She was afebrile, and a routine blood test at the first outpatient clinic follow-up (7 weeks postoperatively) showed: WBC, 4700/μL; ESR, 28 mm/h; and CRP, 0.18 mg/dL. The mesh over her surgical wound had not been removed, and it was removed immediately. We suspected contact dermatitis and referred the patient to the dermatology clinic. After confirming our contact dermatitis diagnosis, local steroid ointment application and oral antihistamines were prescribed, and the patient was cured after 6 weeks of treatment.