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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes A Rash Around The Incision Site Of Hip Replacement Surgery?

I had a recent hip replacement. About 10 days after surgery I experienced a rash on my thigh around the incision would due to what I believe was hot, humid weather. It itched a lot and continued on for another 10 days. I believed it was prickley heat. I sent a picture to my surgeon who is remote and they indicated the incision wound was healing normally. the rask was improving so I took no further action. About 5 days ago I experienced a relapse to the rash after wearing clothes that did not breath well again in Phoenix outdoor heat and the condition has returned. It now seems to be a more generalized area and is dry and crusty. Could I have developed a skin condition as a result of the surgical trauma such as eczema or atopic dermatitis or psoriasis? I have not had any of these conditions recently but had bouts of eczema and atopic dermatitis 20-25 years ago. I will try to upload a picture
Mon, 30 Apr 2018
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Orthopaedic Surgeon 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Your problem seems to indicate a local skin reaction to entrapped moisture in humid weather conditions. The surgical wound seems to be healing with no discharge.

This needs to be cleaned and to be kept dry with no dressing or surgical gauze cover. It would be better if you keep it exposed to the air with light, loose cotton clothes would be better.

A mild cream containing 1% hydrocortisone can be applied to counter this reaction. As you have a history of eczema minor ooze from the surgical wound could have triggered this.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. George Verghese
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What Causes A Rash Around The Incision Site Of Hip Replacement Surgery?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Your problem seems to indicate a local skin reaction to entrapped moisture in humid weather conditions. The surgical wound seems to be healing with no discharge. This needs to be cleaned and to be kept dry with no dressing or surgical gauze cover. It would be better if you keep it exposed to the air with light, loose cotton clothes would be better. A mild cream containing 1% hydrocortisone can be applied to counter this reaction. As you have a history of eczema minor ooze from the surgical wound could have triggered this. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. George Verghese