Abstract
Introduction: Orthopedic casting is a fundamental technique in orthopedic practice. While orthopedic casting is effective it is not without complications. case report: We discuss a case of a 65-year-old male who following a scaphoid fracture, developed a severe acute allergic contact dermatitis to fiberglass orthopedic cast. He had no previous history of atopy and had orthopedic casting previously, 20 years ago. He was treated symptomatically initially without cast removal but deteriorated. His condition was successfully managed conservatively with a combination of cast removal and use of a canvas splint, intravenous antibiotics, oral antihistamine and topical steroids. He achieved full fracture healing clinically and radiologically. conclusion: A high index of suspicion should be kept when patients with an orthopedic cast present with any symptoms to the emergency department. Any symptoms beneath a cast should prompt cast removal and full examination. 4
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