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Refractory eczematous dermatitis associated with retained suture material.

Jeffrey A Ascherman1, Catherine J Hunter, David R Bickers

  • 1Department of Surgery, Division of Plastic Surgery, Columbia University Medical Center, New York, NY, USA. jaa7@columbia.edu

Annals of Plastic Surgery
|January 25, 2006
PubMed
Summary

A rare skin reaction, eczematous dermatitis, can occur due to retained Prolene sutures after surgery. Removing the suture resolved the patient's symptoms, highlighting its importance in difficult cases.

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Area of Science:

  • Dermatology
  • Surgical Pathology

Background:

  • Dermatofibrosarcoma protuberans (DFSP) is a rare skin cancer.
  • Surgical excision is a primary treatment for DFSP.
  • Postoperative complications can include inflammatory reactions.

Observation:

  • A patient developed a cutaneous-id reaction and eczematous dermatitis.
  • The reaction was localized to the site of a previous DFSP excision.
  • A residual Prolene suture was identified at the surgical site.

Findings:

  • The eczematous dermatitis was attributed to a retained Prolene suture.
  • Removal of the retained suture led to dramatic improvement of the patient's symptoms.
  • This indicates a rare but significant suture-related inflammatory response.

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Implications:

  • Retained sutures should be considered in postoperative eczematous dermatitis unresponsive to standard treatments.
  • This case highlights the importance of thorough surgical site assessment for foreign materials.
  • Awareness of this rare complication can improve patient outcomes in dermatologic surgery.