title: [Pyoderma gangrenosum after a pacemaker implantation--case report].
abstract: We are presenting a 71-years old male patient with chronic skin lesions that appeared at multiple site of pacemaker implantations in the upper thorax. In spite of many treatment trials, no significant improvements were accomplished. Expanded dermatological tests including serial histopathological examinations were necessarily performed. Based on test results and clinical presentations, the diagnosis of pyoderma gangrenosum was made. Immediate steroid therapy allowed dramatic improvement of the chronic inflammatory condition. The patient is still undergoing a close dermatological and cardiological follow-up. Replacement of the pacemaker into the abdomen is currently being considered.
authors.affiliation: Katedra i Oddział Kliniczny Chorób Wewnetrznych i Dermatologii w Zabrzu, Slaskiej Akademii Medycznej w Katowicach .
authors.forename: Edyta
authors.initials: E
authors.lastname: Gebska
authors.forename: Małgorzata
authors.initials: M
authors.lastname: Pindycka-Piaszczyńska
authors.forename: Wojciech
authors.initials: W
authors.lastname: Zajecki
authors.forename: Barbara
authors.initials: B
authors.lastname: Filipowska
authors.forename: Daniel
authors.initials: D
authors.lastname: Sabat
authors.forename: Jerzy
authors.initials: J
authors.lastname: Jarzab
mesh_terms: D000368:Aged; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D017511:Pyoderma Gangrenosum / Q000188:drug therapy* / Q000209:etiology*; D012867:Skin / Q000473:pathology; D016896:Treatment Outcome
chemical_list: D000893:Anti-Inflammatory Agents