title: Florid pustular dermatitis of breast: A case report on a unusual complication from acellular dermal matrix use.
abstract: BACKGROUND
  Idiopathic erythematous reaction of the breast (Red breast syndrome) is a known complication following breast reconstruction with acellular dermal matrix. However pustular dermatitis like presentation is not previously known.
  
  
  METHODS
  We present a 42-year-old lady who developed bilateral pustular dermatitis like appearance following breast reconstruction with acellular dermal matrix slings. Though surgical washout was done, both expanders and flex HD could be preserved.
  
  
  CONCLUSIONS
  Acellular dermal matrix use is the only possible explanation for such a presentation and this can be considered a variant of red breast syndrome.
  
  
  CONCLUSIONS
  Pustular dermatitis like presentation can be associated with acelluar dermal matrix use and should be considered in similar clinical presentations, since this can avoid unnecessary surgical procedures.
authors.affiliation: Breast Surgery Unit, Fiona Stanley Hospital, 102-118 Murdoch Drive, Murdoch,WA 6150, Australia; Monash University, Faculty of Medicine, Nursing and Health Sciences, VIC 3800, Australia. Electronic address: drjustinjamesj@yahoo.co.uk.
authors.forename: Justin
authors.initials: J
authors.lastname: James
authors.affiliation: Breast Surgery Unit, Fiona Stanley Hospital, 102-118 Murdoch Drive, Murdoch,WA 6150, Australia. Electronic address: lee.jackson@health.wa.gov.au.
authors.forename: Lee
authors.initials: L
authors.lastname: Jackson
authors.affiliation: Breast Surgery Unit, Fiona Stanley Hospital, 102-118 Murdoch Drive, Murdoch,WA 6150, Australia; University of Western Australia, School of Surgery, Harry Perkins Institute of Medical Research, Fiona Stanley Hospital, Murdoch, WA 6150, Australia.
authors.forename: Christobel
authors.initials: C
authors.lastname: Saunders
keywords: Acellular dermal matrix; Case report; Pustular dermatitis; Red breast syndrome