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Revision TKR possibly allergic reaction to knee replacement

Thanks. It is really bothersome rite now but I still can't take anything till tomorrow after my last appt. It keeps getting worse. I told my hubby if the dermatologist says it's just acne I will walk out

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PLEASE don't let him take a biopsy. You don't need to take any chances of introducing an infection in your knee. You have gotten good advice from others - go some place else - this is too important. I also want to remind you that YOU HIRE THE DOCTOR. They are not gods that you should blindly listen to and do not worry about hurting or insulting them. It is YOUR body and YOU are the one that has to live with the decision. I pray you can find the correct doctor for your situation. I do not think this dermatologist is the one.
 
Wow! I agree with Josephine. That so-called dermatologist is an idiot! Acne indeed! That would be the sort of acne that you didn't have before and that comes up overnight, in response to a battery of allergy tests? I don''t think so!

A second opinion is definitely needed - and not from anyone who has anything to do with your present OS and his cronies.
 
I also agree that if your skin was clear before the testing and afterwards it broke out that badly it's not acne. That dermatologist is just wrong if he says that. Since your OS (who doesn't seem to have it together) sent you to this dermatologist he has done you no favors! I hope you see a new doctor asap.
 
I m planning to go to the dermatologist tomorrow at 4 just cause it's my follow up for the patch test and I really want to hear what he has to say now again but don't worry I already made a phone call to a specialized hospital about an hr. Away from me. I m not getting the biopsy till I talk to someone else. I don't trust this guy at all. My back is burning up,throbbed and itches at the same time. I know it's metal cause this is how I get bit for some reason he doesn't want to agree

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Take care tonight, sorry you have to put up with the irritation, burning, and itching where the patches were.
Let us know how it goes tomorrow.
Do you have anything you can take after your appointment for your symptoms?
 
Yes,thank goodness I do. And I will be taking some and get a shower too see if that helps. I haven't been able to get a shower since sunday

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I will let u know how it goes

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How did your dermatologist visit go? Are you doing okay today? I hope you heard from the other OS you called.
 
Thanks everyone for ur support. I m doing better today. My dermatologist said that my patch test was not 100 percent positive on the nickel,but very close,that is what is causing the rash from the patch test. He has talked to my os cause he suddenly has a change of heart. He said he definitely thinks I m allergic to metal,nickel and will tell my os that when I go into surgery to replace my knee with a nickel free knee. He saw my stomach from where the metal snap from my jeans touched my stomach and said it is definitely a nickel allergy. Although he still says he wants a biopsy on my rash on my knee replacement, he thinks that rash still has nothing to do with my nickel allergy. He actually listened to me today. As for the other os,place,they didn't call me back yet but tomorrow I will be calling them. Oh the dermatologist actually put a nickel patch on my arm and a Titanium patch on the other. I go back on mon. To get it checked. He did bring up the MELISA test but said they r expensive cause ins. Don't cover them

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I am glad he finally listened to you. With that said, I am sorry you are facing another surgery. My thoughts and prayers are with you.
 
I would definitely be hesitant still to go back to your original OS. Please make sure you talk to someone else. I finally did and now at least I have someone who.listens to me AND knows what he's doing.
 
What a turn around your dermatologist made, glad they are taking your metal allergy seriously. If you require a revision, you will feel much better having the nickel prosthesis out.
Let us know if you get a hold of the other office.
 
Thanks guys. I m def. Planning to see another surgeon for another opinion before I finalize anything with my original os. I will keep u posted

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borymms4 said:
Hello my knee friends. I just got back from the patch test and they said the results were negative but I go back tomorrow to get it read again the dermatologist looked at my knee,the red rash and was quite surprized


I was truly allergic to my knee implant and it was removed. I had blood testing done because the OS said that the blood testing was MUCH more reliable than the patch test. I'd been through enough pain and agony so I wanted the best test out there to determine if I had a metal allergy. The test itself was $600 and the insurances does not pay for it, but I didn't care. $600 is much less expensive than the 3 knee replacements I've had. I NEVER had any kind of a rash like you, nothing. Just pain, swelling, lack of ROM, and always a warm knee. Even the doctor said after he took out my nickel knee that looking at the tissues there was no visual sign of being allergic. I'd get the blood testing done if I were you and not fool around with inaccurate patch testing. The blood testing consisted of giving up multiple vials of blood. The blood was then overnighted via Fed Ex to a special lab in Chicago (I live in Houston) there are not many labs who specialize in metal allergy testing. Once the samples arrived in Chicago different metals were introduced to multiple blood samples as well as TKR cements and they grow them for 6 to 10 days to get an accurate reading. Mine came back as highly allergic to Nickel and Chromium. No other metals tested did I have a reaction, nor the cement. As it turns out 17% of women are allergic to Nickel vs only 3% of men. The dermatologist doesn't know beans, ditch him and find a good TKR doctor!!
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Are you using any creams on your leg for inflammation or the scar? Before my allergy testing after I was scoped a second time to remove massive scar tissue the OS who did the scoping prescribed a compounded cream to apply for inflammation to discourage any further scar tissue growth. After two refills my leg broke out into a huge red hot raised rash. It had nothing to do with metal allergy, just compounded ingredients that my skin did not tolerate. Once I stopped using the clean the rash went away.
 
No I m not using any creams. They don't know what this red rash is as of rite now. It isn't raised and I have been allergic to nickel for years before I got a knee replacement but they wanted test done anyway. As for getting the blood work done instead of patch testing,there is no way I can afford that. I m on disability and r having a hard time just affording all these specialist visits.

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Everybody is different. There r plenty of pictures of a red rash like mine that u can find. I have tons of pain, very limited motion,lots of falling and swelling.


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borymms4 said:
Everybody is different. There r plenty of pictures of a red rash like mine that u can find. I have tons of pain, very limited motion,lots of falling and swelling.



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I was not suggesting that you are not allergic because you have a rash and I didn't. I was just sharing my experience for anyone and everyone going through this. On the flip side someone could think it can't be allergy if they don't have a rash...like you said, everyone is different. As far as blood testing goes Medicare does pay for the blood testing for metal allergy but I'm not old enough for Medicare so it was all on me $$$. If you are on disability you may get yours paid for. I'd look into that...
 
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