Not sure if this belongs under allergy or dermatology but here goes...
My son had surgery to repair a broken ulna and radius in his left arm. Surgical stainless steel plates and screws were used. He was not casted but was given a sleeve-like bandage and a plastic splint which he wore for 6 weeks. Into the 3rd week, he started to develop a blistery rash on his left hand. We had the blisters tested for staph (negative). Also blood work was done to rule out infection. The rash moved up his inner arm near his incision. We changed the sleeve he was wearing to a cotton sock thinking that he was having an allergic reaction to the bandage. After about a week of Cortaid, the rash subsided but returned after 3 days and again ran up his arm. It was itchy and looked like poison ivy. By week 5 he had spots of the rash on his neck, chin and face. His pediatrician put him on a 5 day dose of prednisone and hydrocortisone valerate 0.2%. During the next week he was removed from the sleeve and splint and began physical therapy. We sought the advice of a dermatologist who put him on an extended dose of prednisone and triamcinolone acetonide cream 0.1%. The rash went away after about a week. The next week he was patch tested using T.R.U.E. He had mild to moderate reactions to nickel, neomycin, mercapto and fragrances. A new skin condition has recently appeared on both hands with blisters and peeling skin. We are currently using Aquaphor at night with gloves which seems to be helping.
Is it a coincidence that this has all occurred after he had surgery? Is it possible that this is an allergic reaction to the stainless steel in his arm? I not sure where to go with this at this point.
Allergy to st5ainless steel is very rare.Sometimes the stainless steel implants and screws have nickel in them which provides a smooth and polished finish.As you son has shown allergy to nickel on patch testing,so it is possible that he is showing allergic reaction to nickel in the implant.
Pls confirm it from the manufacturer of the implant and screws whether nickel has been used in it.
Hope this information helps.Take care and pls do keep me posted on how your son is doing or if you have any additional queries
Thank you. I have called the orthopedic and asked to check with his rep on the composition of the stainless steel (% nickel, chromium, etc.). I also understand that some absorbable suctures can also contain chromium.
Yes you are right in saying that some of the sutures have chromium.We call them chromic catgut sutures.They are absorbable, surgical sutures composed of highly purified connective tissue (mostly collagen) derived from either beef or sheep intestines and covered with chromium salt solution to delay absorption.Moreover chromium can be used in the composition of stainless steel also.So it is good that you have decided to check the composition with your son’s doctor.
Hope it helps.Take care and pls do keep me posted if you have any additional doubts. Kind regards.
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.