Nickel contact dermatitis in children.

Nickel is the most commonly detected cutaneous allergen on patch testing in the United States for children. The ubiquitous nature of nickel as a hardening agent in metal products makes avoidance difficult. Allergy in childhood can be hard to recognize, especially when a strong idiopathic response is noted.

Monodermatomal herpes zoster in a pseudodisseminated distribution following breast reconstruction surgery.

A 45-year-old woman underwent a modified radical mastectomy with transverse rectus abdominis myocutaneous (TRAM) flap reconstruction for newly diagnosed stage III breast cancer. Three months after beginning chemotherapy, she developed an erythematous, vesicular, painful rash along the right side of her abdomen that extended to the right side of her chest. Although the rash had the qualities of herpes zoster, the distribution was not dermatomal in nature; instead, it crossed multiple dermatomes.