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.
A 38-year-old African American woman with a BMI of 28.13 and an allergy to codeine and iodine () was prepped with chlorhexidine gluconate and the following sutures were utilized: deep polyglactin 910, deep poliglecaprone 25, and intracuticular poliglecaprone 25. The patient presented eight days later with numerous erythematous papules on the upper poles of the breasts that had presented that morning. Over-the-counter hydrocortisone cream had not alleviated symptoms. She was instructed to continue hydrocortisone. Ten days later, the rash had spread to her flexor forearms. She began a methylprednisone taper pack and the rash resolved within two days.