Table 2.

Summary of patient cases: Clinical descriptions, management, and outcomes

Pt #	Description of Rash	Treatment Prescribed for Rash	Outcome of Treatment and Follow-up
1	Right breast with several centimeter erythematous scaly patch on and below the surgical site	Fluocinonide and mupirocin cream bid	At 1 month follow-up, post-reconstruction dermatitis was resolved with only mild hyperpigmentation.
2	Bilateral pink scaly patches over surgical sites	Fluocinonide and mupirocin cream bid	At 1 month follow-up, post-reconstruction dermatitis was improved bilaterally. Rash recurred 3 months following permanent implant exchange and was successfully retreated.
3	Right breast with a annular, scaly plaques near the surgical scar	Fluocinonide and mupirocin cream bid	At 1 month follow-up, post-reconstruction dermatitis was improved with only mild hyperpigmentation. 7 years later, the patient had surgical excision of a 3 cm liposarcoma on her right shoulder. A few months later the patient presented with erythema and scaling inferior to scar on right reconstructed breast and she was successfully retreated.
4a	Right breast with 3×5 cm scaly, scalloped plaque with raised border and honey colored crust on the surgical scar	Fluocinonide and mupirocin cream bid and Clindamycin 150 mg po qid × 10 days	At 1 month follow-up, post-reconstruction dermatitis was much improved with only mild hyperpigmentation. A 30 pound weight gain seven years after her initial presentation resulted in rash recurrence that was successfully treated.
5	Right breast with a scaly and erythematous plaque near the surgical scar	Fluocinonide and mupirocin cream bid	At 2 months follow-up with breast oncologist, post-reconstruction dermatitis was resolved.
6	Left breast with a 4 cm annular eczematous patch with subtle crusting lateral to surgical site	Fluocinonide cream	At 8 months follow-up, post-reconstruction dermatitis was resolved.
7	Bilateral erythema and slight scaling inferior to mastectomy scars	Fluocinonide and mupirocin cream bid	At 1 month follow-up, there was improvement in erythema on the right and left breast. At her most recent visit, the lesions were completely resolved with only mild hyperpigmentation.
8	Right breast with hyperpigmented macules and scaly plaques, some annular in appearance, in the center of a slightly hypertrophic mastectomy scar	Fluocinonide and mupirocin cream bid and topical ketoconazole bid	At 2 months follow-up the patient still has some hyperpigmented macules. Fluocinonide was discontinued and Westcort cream bid was prescribed. The patient is still being followed. She does not use the medications as prescribed. She has hyperpigmented and eczematous changes near the scar on her right reconstructed breast and other eczematous changes.
9	Right breast with scaly, lichenified plaques	Fluocinonide and mupirocin cream bid	At 4 months follow-up the patient had a band-like discoloration under the right implant on her breast and lichenification. Ketoconazole cream bid and 2.5% hydrocortisone cream were prescribed. At her most recent visit she had few excoriations under her right breast.
10	Bilateral erythema and scaling along the suture lines with few annular patches; right greater than left	Fluocinonide and mupirocin cream and topical ketoconazole tid	At 1 month follow-up post-reconstruction dermatitis was much improved.
11	Left breast with pink, thin, scaly plaques around the scar	Fluocinonide and mupirocin cream bid	At 2 months follow-up post-reconstruction dermatitis was much improved.
12	Right breast with multiple erythematous slightly linear, scaly plaques below the suture lines	Fluocinonide and mupirocin cream tid	At 2 months follow-up there was much less erythema and minimal postinflammatory hyperpigmentation.
13	Right breast with ill defined erythematous plaque with central clearing around the mastectomy scar	Betamethasone diproprionate and mupirocin cream bid	At 2 months follow-up post-reconstruction dermatitis of the right breast was resolved. Six years post MRM and breast reconstruction for stage III breast cancer, the patient had the saline implant removed due to persistent right chest wall discoloration and a left prophylactic mastectomy.
14	Left breast with hyperpigmentation and scaling along and below the suture line	Triamcinolone and mupirocin cream bid	At 2 months follow-up post-reconstruction dermatitis of right breast was resolved with mild hyperpigmentation. At her most recent visit, hyperpigmentation was resolved.
15	Bilateral diffuse, ill defined red papules on contours of breasts that spares the folds	Fluticasone and mupirocin cream bid	At 2 weeks follow-up, post-reconstruction dermatitis was much improved.
16	Right breast with erythema and scaling along the suture line	Fluocinonide and mupirocin cream bid	At 1–2 months follow-up post-reconstruction dermatitis was resolved.
17	Left breast with diffuse post-radiation hyperpigmentation; underside of left breast with a 3×3 cm erythematous patch with a few pink papules	Betamethasone diproprionate and mupirocin cream bid	No follow-up of rash to date. Patient will be followed for response to treatment.
18	Left breast erythematous and edematous with induration around the implant	Triamcinolone and mupirocin cream bid	At 4 months follow-up with breast oncologist, post-reconstruction dermatitis was resolved.
19	Right breast with a hyperpigmented, ill-defined macule surrounding the mastectomy scar	Betamethasone diproprionate and mupirocin cream bid	At 3 months follow-up with breast oncologist, post-reconstruction dermatitis was resolved.
20	Right breast with erythema, scaling, and yellow crust below the mastectomy scar; peripheral erythematous macule	Fluocinonide cream and Polysporin ointment bid	At 2 months follow-up for presurgical testing, post-reconstruction dermatitis was resolved.
21	Left breast with erythematous papules and a confluent plaque inferior to the surgical site	Fluocinonide and mupirocin cream bid	One month after initial dermatology visit the patient elected to have the tissue expander reomoved from her left breast without permanent implant placement. At that time, post-reconstruction dermatitis was resolved.

^aPatient with transverse rectus abdominis myocutaneous flap repair. Betamethasone diproprionate cream: Class III; Fluocinonide cream: Class III; Fluticasone cream: Class III; Triamcinolone cream: Class IIII