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Red Breast Syndrome: Complete Resolution Following Replacement of Acellular Dermal Matrices with Acellular Collagen Matrices
Alyssa Simpson, MD
Samuel L Corey, MD
Brooke Barrow, MEng
Milind Kachare, MD
Bradon J Wilhelmi, MD
University of Louisville
Dept of Surgery
Div of Plastic and Reconstructive Surgery
2022-01-15
Presenter: Samuel L Corey, MD
Affidavit:
This work was the original idea of the authors listed.
Director Name: Bradon Wilhlemi, MD
Author Category: Fellow Plastic Surgery
Presentation Category: Clinical
Abstract Category: Breast (Aesthetic and Recon.)
Red breast syndrome (RBS) is a recently defined clinical enigma characterized by a non-infectious, self-limiting, blanching erythema of the breast skin in the distribution of acellular dermal matrices (ADMs) in the post-mastectomy reconstructed breast. The pathophysiology, incidence, associated risk factors, expected course, management, and long-term sequelae of this clinical phenomenon remain poorly understood. A number of management strategies ranging from observation, antibiotic therapy, anti-inflammatories and steroid treatment, chemotherapy, and ADM removal have been suggested in the literature. However, the management strategy of RBS remains quite controversial with little evidence to support one approach over another. In this report, we describe a case of red breast syndrome that resolved following replacement of ADMs with acellular collagen matrices (ACMs).
