title: Pacemaker contact sensitivity: clinical recognition and management.
abstract: We report a patient in whom vesicular lesions of the skin developed overlying the pacemaker at intervals of 3 to 8 months after each of three consecutive insertions. Patch skin tests were positive for titanium and polyurethane sensitization. Although pacemaker contact sensitivity is rare, its recognition is of vital importance to the pacemaker-dependent patient.
authors.affiliation: Department of Pediatrics, Temple University School of Medicine, Philadelphia, Pennsylvania.
authors.forename: H I
authors.initials: HI
authors.lastname: Abdallah
authors.forename: R K
authors.initials: RK
authors.lastname: Balsara
authors.forename: A C
authors.initials: AC
authors.lastname: O'Riordan
mesh_terms: D001146:Arrhythmia, Sinus / Q000150:complications / Q000628:therapy*; D002648:Child; D017449:Dermatitis, Allergic Contact / Q000175:diagnosis* / Q000209:etiology*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D011140:Polyurethanes / Q000009:adverse effects*; D012008:Recurrence; D012828:Silicones / Q000009:adverse effects*; D012882:Skin Tests; D013575:Syncope / Q000209:etiology*; D014025:Titanium / Q000009:adverse effects*; D014630:Vagus Nerve
chemical_list: D011140:Polyurethanes; D012828:Silicones; D014025:Titanium