Florid pustular dermatitis of breast: A case report on a unusual complication from acellular dermal matrix use. (2016)

• Record Type: Journal Article
• Authors: James, Justin; Jackson, Lee; Saunders, Christobel
• Is Part Of: International journal of surgery case reports. Volume 22(2016)
• Page Start: 59
• Page End: 61
• Publication Date: 2016
• Subjects: Acellular dermal matrix -- Red breast syndrome -- Pustular dermatitis -- Case report; Surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgery; Electronic journals; Periodicals; 617.005
• DOI: 10.1016/j.ijscr.2016.02.040
• Languages: English
• ISSNs: 2210-2612

Abstract

Graphical abstract: Highlights: Red Breast syndrome is a known complication with acellular dermal matrix use. Pustular dermatitis like presentation is previously unreported with the use of acellular dermal matrix. Like red breast syndrome, systemic signs are characteristically absent even in the presence of significant local symptoms. Surgical interventions and removal of implants may be avoided if this condition is considered as a possibility in fitting clinical cases. Abstract: Introduction: 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. Presentation of case: 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. Discussion: Acellular dermal matrix use is the only possible explanation for such a presentation and this can be considered a variant of red breast syndrome. Conclusion: 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.