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Sensitivity to sternotomy wires may cause postoperative pruritus
P M Gordon1, P K Buxton, K M McLaren
1University Department of Dermatology, Royal Infirmary of Edinburgh NHS Trust, Scotland.
The Annals of Thoracic Surgery
|May 1, 1996
Summary
Nickel-containing sternotomy wires caused an eczematous eruption in a patient with nickel sensitivity. Removing the wires provided immediate relief, and the case discusses the resulting sarcoidal reaction.
Area of Science:
- Dermatology
- Allergy
- Pathology
Background:
- Nickel sensitivity is a common contact allergen.
- Sternotomy wires are frequently used in cardiac surgery.
Observation:
- An eczematous eruption developed on the anterior chest of a 58-year-old woman post-sternotomy.
- The patient had a known history of nickel sensitivity.
Findings:
- Nickel-containing sternotomy wires were identified as the cause of the eruption.
- Histological examination revealed a sarcoidal reaction.
- Removal of the wires led to immediate and sustained symptom relief.
Implications:
- Highlights the importance of considering metal allergies in post-surgical dermatological reactions.
- Suggests nickel allergy as a potential cause of sarcoidal reactions in specific contexts.
- Emphasizes the need for careful material selection in surgical implants for sensitive patients.