Dermatitis Research Today is a free monthly online journal that collates and summarizes the latest research about Dermatitis, including details on contact-, seborrheic-, atopic-, allergic-dermatitis, treatment.

Entirely polytetrafluoroethylene coating for pacemaker system contact dermatitis.

Tamenishi A, Usui A, Oshima H, Ueda Y

Department of Cardiothoracic Surgery, Nagoya University Hospital, P.O. Box 466-0065, 65 Tsurumai-cho, Syouwa, Nagoya, Aichi, Japan. tamenisi@med.nagoya-u.ac.jp

A 63-year-old man underwent pacemaker implantation for complete atrio-ventricular block. The patient repeated admissions for skin necrosis, and generator or pacemaker system was re-implanted each time. The patient was admitted with skin necrosis of the generator pocket three years after re-implantation. A skin patch test was positive on almost all components of the pacemaker system. The patient underwent pacemaker system removal and re-implantation of polytetrafluoroethylene (PTFE) sheets coating pericardium leads and generator. There has been no recurrence. PTFE sheet coating is effective to treat pacemaker system contact dermatitis.

Published 2 April 2008 in Interact Cardiovasc Thorac Surg, 7(2): 275-7.
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