Refractory eczematous dermatitis associated with retained suture material.
We present a patient who developed a cutaneous-id reaction and eczematous dermatitis related to a residual Prolene suture following excision of dermatofibrosarcoma protuberans. Following a wider excision of the site, with removal of the retained suture material, the patient's symptoms dramatically improved. Although this reaction is rare, retained sutures should be considered a possible cause of a postoperative eczematous dermatitis that does not respond to standard therapies.
Ascherman
Jeffrey A
JA
Department of Surgery, Division of Plastic Surgery, Columbia University Medical Center, New York, NY, USA. jaa7@columbia.edu
Hunter
Catherine J
CJ
Bickers
David R
DR
D000328:Adult; D003877:Dermatitis, Contact / Q000175:diagnosis / Q000209:etiology; D018223:Dermatofibrosarcoma / Q000601:surgery*; D004485:Eczema / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D005260:Female; D005549:Foreign-Body Reaction / Q000175:diagnosis / Q000209:etiology; D006801:Humans; D011126:Polypropylenes / Q000009:adverse effects*; D012878:Skin Neoplasms / Q000601:surgery*; D013537:Sutures / Q000009:adverse effects*
D011126:Polypropylenes