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Ann Thorac Surg 1994;57:1017-1018
© 1994 The Society of Thoracic Surgeons

Articles

Pacemaker contact sensitivity: Clinical recognition and management

Hasan I. Abdallah, MDa,b, Rohinton K. Balsara, MD*,a,b, Anna C. O'Riordan, MDa,b

a Departments of Pediatrics and Surgery, Temple University School of Medicine USA
b St. Christopher's Hospital for Children, Philadelphia, Pennsylvania, USA

Accepted for publication July 20, 1993.

* Address reprint requests to Dr Balsara, Department of Surgery, St. Christopher's Hospital for Children, Erie Ave at Front St, Philadelphia, PA 19134.

We report a patient in whom vesicular lesions of the skin developed overlying the pacemaker at intervals of 3 to 8 months after each of three consecutive insertions. Patch skin tests were positive for titanium and Polyurethane sensifization. Although pacemaker contact sensitivity is rare, its recognition is of vital importance to the pacemaker-dependent patient.




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