LAUSR

INTRODUCTION This report describes the unusual development of a presumed severe thermal breast burn after a short period of sun exposure while wearing a tight-fitting black shirt. The patient had lost sensation in the right breast because of a previous right thoracotomy. The unique aspect of this case is that the burn was diagnosed initially as an allergic reaction then as an infection. The treating physicians were not aware that it could potentially be a severe thermal burn from brief sun exposure to a tight fitting black garment covering denervated skin. It is important for physicians to consider this diagnosis in patients who have insensate skin.