Allergy to Prolene Sutures in a Dural Graft for Chiari Decompression
Allergy to Prolene suture is exceedingly rare with only 5 cases reported in the literature. There have been no such cases associated with neurosurgical procedures. Diagnosis is nearly always delayed in spite of persistent symptomatology. A 27-year-old girl with suspected Ehlers-Danlos, connective ti...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2015/583570 |
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| author | Iahn Cajigas S. Shelby Burks Joanna Gernsback Lauren Fine Baharak Moshiree Allan D. Levi |
| author_facet | Iahn Cajigas S. Shelby Burks Joanna Gernsback Lauren Fine Baharak Moshiree Allan D. Levi |
| author_sort | Iahn Cajigas |
| collection | DOAJ |
| description | Allergy to Prolene suture is exceedingly rare with only 5 cases reported in the literature. There have been no such cases associated with neurosurgical procedures. Diagnosis is nearly always delayed in spite of persistent symptomatology. A 27-year-old girl with suspected Ehlers-Danlos, connective tissue disorder, underwent posterior fossa decompression for Chiari Type 1 malformation. One year later, the patient presented with urticarial rash from the neck to chest. Cerebrospinal fluid and blood testing, magnetic resonance imaging, and intraoperative exploration did not suggest allergic reaction. Eventually skin testing proved specific Prolene allergy. After suture material was removed, the patient no longer complained of pruritus or rash. This single case highlights the important entity of allergic reaction to suture material, namely, Prolene, which can present in a delayed basis. Symptomatology can be vague but has typical allergic characteristics. Multidisciplinary approach is helpful with confirmatory skin testing as a vital part of the workup. |
| format | Article |
| id | doaj-art-88dc6fe03a0b4947b808bb57c0d3af4a |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-88dc6fe03a0b4947b808bb57c0d3af4a2025-02-03T01:01:36ZengWileyCase Reports in Medicine1687-96271687-96352015-01-01201510.1155/2015/583570583570Allergy to Prolene Sutures in a Dural Graft for Chiari DecompressionIahn Cajigas0S. Shelby Burks1Joanna Gernsback2Lauren Fine3Baharak Moshiree4Allan D. Levi5Department of Neurological Surgery and the Miami Project to Cure Paralysis, University of Miami Miller School of Medicine, Miami, FL 33136, USADepartment of Neurological Surgery and the Miami Project to Cure Paralysis, University of Miami Miller School of Medicine, Miami, FL 33136, USADepartment of Neurological Surgery and the Miami Project to Cure Paralysis, University of Miami Miller School of Medicine, Miami, FL 33136, USADivision of Pulmonary, Allergy, Critical Care, and Sleep Medicine, University of Miami Miller School of Medicine, Miami, FL 33136, USADivision of Gastroenterology, University of Miami Miller School of Medicine, Miami, FL 33136, USADepartment of Neurological Surgery and the Miami Project to Cure Paralysis, University of Miami Miller School of Medicine, Miami, FL 33136, USAAllergy to Prolene suture is exceedingly rare with only 5 cases reported in the literature. There have been no such cases associated with neurosurgical procedures. Diagnosis is nearly always delayed in spite of persistent symptomatology. A 27-year-old girl with suspected Ehlers-Danlos, connective tissue disorder, underwent posterior fossa decompression for Chiari Type 1 malformation. One year later, the patient presented with urticarial rash from the neck to chest. Cerebrospinal fluid and blood testing, magnetic resonance imaging, and intraoperative exploration did not suggest allergic reaction. Eventually skin testing proved specific Prolene allergy. After suture material was removed, the patient no longer complained of pruritus or rash. This single case highlights the important entity of allergic reaction to suture material, namely, Prolene, which can present in a delayed basis. Symptomatology can be vague but has typical allergic characteristics. Multidisciplinary approach is helpful with confirmatory skin testing as a vital part of the workup.http://dx.doi.org/10.1155/2015/583570 |
| spellingShingle | Iahn Cajigas S. Shelby Burks Joanna Gernsback Lauren Fine Baharak Moshiree Allan D. Levi Allergy to Prolene Sutures in a Dural Graft for Chiari Decompression Case Reports in Medicine |
| title | Allergy to Prolene Sutures in a Dural Graft for Chiari Decompression |
| title_full | Allergy to Prolene Sutures in a Dural Graft for Chiari Decompression |
| title_fullStr | Allergy to Prolene Sutures in a Dural Graft for Chiari Decompression |
| title_full_unstemmed | Allergy to Prolene Sutures in a Dural Graft for Chiari Decompression |
| title_short | Allergy to Prolene Sutures in a Dural Graft for Chiari Decompression |
| title_sort | allergy to prolene sutures in a dural graft for chiari decompression |
| url | http://dx.doi.org/10.1155/2015/583570 |
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