Little is documented about the frequency and management of allergic reactions to hypoglossal nerve stimulator implants. This case describes a 69-year-old female with obstructive sleep apnea who received the hypoglossal nerve stimulator device and had an adverse reaction concerning for an allergic reaction to the medical device. The complication was managed via topical steroids, and while the patient's symptoms initially resolved, she experiences continued intermittent maculopapular pruritic rashes approximately once per week. This case details the patient's presentation, including progression and management, while also highlighting the diagnostic challenges in identifying allergic reactions to medical implants and offering considerations for future management.
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Gouldman et al. (2024) studied this question.
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