title: Idiosyncratic allergic reaction to textured saline implants.
abstract: In the literature, multiple conditions, including hematomas, self-limited cutaneous eruptions, and generalized systemic complaints, have been attributed to breast implants. We report the first case of idiosyncratic allergic reaction to the textured surface of a mammary prosthesis. The reaction was documented by patch testing of the textured surface compared with smooth-surface silicone controls. Symptoms resolved with removal of the implants and have not recurred after insertion of smooth-walled implants. Whereas the physiology of this condition remains unclear at this time, it is important to recognize the possibility of a delayed hypersensitivity reaction when considering reconstruction with a textured breast implant.
authors.affiliation: Department of Surgery, Division of Plastic and Reconstructive Surgery, Lehigh Valley Hospital.
authors.forename: W H
authors.initials: WH
authors.lastname: Sabbagh
authors.forename: R X
authors.initials: RX
authors.lastname: Murphy
authors.forename: S J
authors.initials: SJ
authors.lastname: Kucirka
authors.forename: W J
authors.initials: WJ
authors.lastname: Okunski
mesh_terms: D000328:Adult; D018427:Breast Implants / Q000009:adverse effects*; D005260:Female; D006801:Humans; D011474:Prosthesis Design; D012965:Sodium Chloride; D014581:Urticaria / Q000209:etiology*
chemical_list: D012965:Sodium Chloride