title: Pacemaker contact dermatitis: The effective use of a polytetrafluoroethylene sheet.
abstract: 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.
authors.affiliation: Department of Internal Medicine, Nippon Medical School Tama-Nagayama Hospital, Tokyo, Japan. kensukeishii@syd.odn.ne.jp
authors.forename: Kensuke
authors.initials: K
authors.lastname: Ishii
authors.forename: Eitaro
authors.initials: E
authors.lastname: Kodani
authors.forename: Shinjiro
authors.initials: S
authors.lastname: Miyamoto
authors.forename: Toshiaki
authors.initials: T
authors.lastname: Otsuka
authors.forename: Masaru
authors.initials: M
authors.lastname: Hosone
authors.forename: Ken-ichi
authors.initials: K
authors.lastname: Ogata
authors.forename: Wataru
authors.initials: W
authors.lastname: Sato
authors.forename: Shin
authors.initials: S
authors.lastname: Matsumoto
authors.forename: Takeshi
authors.initials: T
authors.lastname: Tadera
authors.forename: Chikao
authors.initials: C
authors.lastname: Ibuki
authors.forename: Yoshiki
authors.initials: Y
authors.lastname: Kusama
authors.forename: Hirotsugu
authors.initials: H
authors.lastname: Atarashi
mesh_terms: 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*
chemical_list: D011138:Polytetrafluoroethylene; D014025:Titanium