Abstract :Contact dermatitis is defined as a cutaneousinflammatory response to an allergen. While cutaneous reactions to metals such as chromium, cobalt, and nickel are common causes of contact dermatitis, cutaneous reactions to implanted orthopedic devices is a rare finding [1]. Contact dermatitis presents as an erythematous rash on exposed areas of the skin while sparing unaffected areas. Orthopedic implants are typically placed within the deep tissue and away from the superficial skin, however they can produce an immune reaction called systemic contact dermatitis (SCD). SCD results from prior cutaneous sensitization to an allergen that results in an immune reaction upon re-exposure via systemic routes, namely through orthopedic implants. Clinically, the secondary cutaneous reaction associated with SCD can manifest as contact dermatitis amongst other cutaneous manifestations including urticarial rashes and impaired wound healing [2].