Allergy to prolene sutures in a dural graft for chiari decompression

Iahn Cajigas, S. Shelby Burks, Joanna Gernsback, Lauren Fine, Baharak Moshiree, Allan D. Levi

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

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.

Original languageEnglish (US)
Article number583570
JournalCase Reports in Medicine
Volume2015
DOIs
StatePublished - 2015

ASJC Scopus subject areas

  • Medicine(all)

Fingerprint Dive into the research topics of 'Allergy to prolene sutures in a dural graft for chiari decompression'. Together they form a unique fingerprint.

  • Cite this