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[Exceptional pacemaker complication in Still's disease].

Salma Haj Kheder1, Thomas Hummel2, Heike Majewski2

  • 1Medizinische Klinik II Kardiologie, St. Josef Hospital, Universitätsklinikum der Ruhr-Universität Bochum, Gudrunstr. 56, 44791, Bochum, Deutschland. Salma.HajKheder@ruhr-uni-bochum.de.

Herzschrittmachertherapie & Elektrophysiologie
|February 23, 2017
PubMed
Summary
This summary is machine-generated.

Patients with Still's disease experiencing pacemaker complications may develop skin issues. A subcutaneous pacemaker placement can lead to mechanical stress, causing erythema and hypergranulation, necessitating subpectoral implantation.

Keywords:
ErythemaForeign body granulomaIsomorphic phenomenaPacemaker complicationStill’s disease

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Area of Science:

  • Cardiology
  • Dermatology
  • Rheumatology

Background:

  • Still's disease is a rare systemic inflammatory disorder.
  • Pacemaker implantation requires careful consideration of device placement.
  • Skin complications can arise from subcutaneous pacemaker generator placement.

Purpose of the Study:

  • To report a case of pacemaker-related skin complications in a patient with Still's disease.
  • To investigate the impact of pacemaker generator position on skin integrity in patients with Still's disease.

Main Methods:

  • A case report detailing a patient with Still's disease and pacemaker complications.
  • Surgical revision involving removal of the pacemaker system and reimplantation.
  • Evaluation of wound healing post-revision.

Main Results:

  • A patient with Still's disease developed a rash, progressing to granuloma and macula above the pacemaker scar.
  • Subcutaneous pacemaker generator placement led to increased mechanical stress, erythema, and hypergranulation.
  • Reimplantation into a subpectoral position resulted in unremarkable wound healing.

Conclusions:

  • Subcutaneous pacemaker placement can exacerbate skin issues in patients with Still's disease due to mechanical stress.
  • Avoiding superficial pacemaker positions is crucial for patients with Still's disease to prevent complications.
  • This case highlights the importance of individualized device placement strategies in patients with systemic inflammatory conditions.