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[Mid-dermal elastolysis after insertion of a pacemaker].

D Kottler¹, A Lefèvre¹, B Balme²

¹Service de dermatologie, centre hospitalier de Valence, 179, boulevard du Maréchal-Juin, 26000 Valence, France.

Annales De Dermatologie Et De Venereologie

|September 13, 2015

Summary

This summary is machine-generated.

Mid-dermal elastolysis (MDE), a rare skin condition, can be triggered by medical devices. This case highlights a reticular variant of MDE appearing after pacemaker insertion, suggesting a localized inflammatory response.

Keywords:

Derme moyen Elastolysis Mid-dermal elastolysis Pacemaker Reticular variant Stimulateur cardiaque Élastolyse Érythème réticulé

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Area of Science:

Dermatology
Histopathology
Medical Devices

Background:

Mid-dermal elastolysis (MDE) is a rare acquired skin disease characterized by focal loss of elastic fibers in the mid-dermis.
The exact mechanisms causing MDE are unknown, but increased degradation of elastic fibers is suspected.
Various factors have been proposed to trigger this degradation.

Observation:

A 58-year-old man presented with an asymptomatic, reticulated skin eruption near a pacemaker implanted six weeks prior.
The eruption featured erythematous, polycyclic macules with wrinkled centers.
Histopathology confirmed focal loss of elastic fibers in the superficial reticular dermis.

Findings:

Allergy testing ruled out hypersensitivity to pacemaker components.
Autoimmune and hematological investigations were normal.
The patient was diagnosed with a reticular variant of MDE, temporally associated with pacemaker insertion.

Implications:

This is the second reported case of MDE following pacemaker implantation.
Pacemaker insertion may potentially trigger a localized inflammatory response targeting elastic fibers.
Further research is needed to understand the link between medical devices and MDE.