Pacemaker contact dermatitis: The effective use of a polytetrafluoroethylene sheet.
A 52-year-old man with Down's syndrome was implanted with a DDDR pacemaker for advanced atrioventricular block. He was admitted with development of skin eczema and partial exposure of the generator 1 year after reimplantation. There was no evidence of infection on laboratory data. A skin patch test was positive for the metal of the generator (purity 99.9% titanium) after 72 hours. These findings indicated pacemaker contact dermatitis. After the patient was reimplanted with a pacemaker wrapped with a polytetrafluoroethylene sheet, there has been no recurrence of the contact dermatitis during a follow-up period of 3 years.
Ishii
Kensuke
K
Department of Internal Medicine, Nippon Medical School Tama-Nagayama Hospital, Tokyo, Japan. kensukeishii@syd.odn.ne.jp
Kodani
Eitaro
E
Miyamoto
Shinjiro
S
Otsuka
Toshiaki
T
Hosone
Masaru
M
Ogata
Ken-ichi
K
Sato
Wataru
W
Matsumoto
Shin
S
Tadera
Takeshi
T
Ibuki
Chikao
C
Kusama
Yoshiki
Y
Atarashi
Hirotsugu
H
D003877:Dermatitis, Contact / Q000209:etiology* / Q000517:prevention & control*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D011138:Polytetrafluoroethylene; D014025:Titanium / Q000009:adverse effects*
D011138:Polytetrafluoroethylene; D014025:Titanium