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Europace Advance Access published online on November 10, 2006
Europace, doi:10.1093/europace/eul114
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© The European Society of Cardiology 2006. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

CASE REPORT

Pyoderma gangrenosum complicating pacemaker implant

Francisco G. Cosío1,*, Carlos González Herrada2, Alfonso Monereo3, Agustín Pastor1 and Ambrosio Núñez1

1 Cardiology Service, Hospital Universitario de Getafe, Carretera de Toledo, km 12.5, 28905 Getafe, Madrid, Spain; 2 Dermatology Service, Hospital Universitario de Getafe, Madrid, Spain; 3 Internal Medicine Service, Hospital Universitario de Getafe, Madrid, Spain

A 70-year-old lady with diabetes and monoclonal gammopathy underwent pacemaker implant for 2:1 atrioventricular block. Within 7 days, a painful, infiltrating, necrotic lesion involved the implant area. Biopsy was compatible with pyoderma gangrenosum and corticosteroid treatment led to healing in 3 weeks.

Key Words: Pacemaker implant complications, Pyoderma gangrenosum, Pathergy on pacemaker

* fcosio{at}vitanet.nu


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