Pyoderma Gangrenosum following Pacemaker Implantation: A Case Report and Review of Literature
Pyoderma gangrenosum (PG) is a rare neutrophilic dermatosis characterized by noninfectious, inflammatory, ulcerating lesions. Pathergy can be seen in these patients, whereby minor trauma or surgery can result in the development of PG ulcerations. Here, we present a case of PG following pacemaker imp...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2019/8010895 |
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| author | Noura Ayoubi Zaydi Javeed Raymond Cutro Brooke T. Baldwin |
| author_facet | Noura Ayoubi Zaydi Javeed Raymond Cutro Brooke T. Baldwin |
| author_sort | Noura Ayoubi |
| collection | DOAJ |
| description | Pyoderma gangrenosum (PG) is a rare neutrophilic dermatosis characterized by noninfectious, inflammatory, ulcerating lesions. Pathergy can be seen in these patients, whereby minor trauma or surgery can result in the development of PG ulcerations. Here, we present a case of PG following pacemaker implantation. A 76-year-old male with a history of rheumatoid arthritis presented to the cardiology team with symptomatic bradycardia. Indications for implantation were met, and the procedure was performed in a routine fashion. The patient returned to clinic for follow-up four days later, complaining of pain at the incision site, coupled with erythema and purulent drainage. Consultations with an infectious disease specialist and a dermatologist were requested, and the diagnosis of pyoderma gangrenosum was considered. The patient underwent device removal and received systemic corticosteroids at a dose of 1 mg/kg prednisone with complete lesion healing in 3 weeks. While being maintained on steroids, the patient underwent reimplantation of a new pacemaker on the contralateral side without complication and had a normal postoperative course. We present this case report, along with the review of literature, in order to highlight the multidisciplinary approach to management, which requires dermatologic treatment in order to achieve pacemaker success. |
| format | Article |
| id | doaj-art-343a9bec0d1f45e9bf76440e000a8a11 |
| institution | Kabale University |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-343a9bec0d1f45e9bf76440e000a8a112025-02-03T01:02:20ZengWileyCase Reports in Cardiology2090-64042090-64122019-01-01201910.1155/2019/80108958010895Pyoderma Gangrenosum following Pacemaker Implantation: A Case Report and Review of LiteratureNoura Ayoubi0Zaydi Javeed1Raymond Cutro2Brooke T. Baldwin3Morsani College of Medicine, University of South Florida, Tampa, Florida, USAMorsani College of Medicine, University of South Florida, Tampa, Florida, USADepartment of Cardiology, James A. Haley Veterans’ Hospital, Tampa, Florida, USADepartment of Dermatology, James A. Haley Veterans’ Hospital, Tampa, Florida, USAPyoderma gangrenosum (PG) is a rare neutrophilic dermatosis characterized by noninfectious, inflammatory, ulcerating lesions. Pathergy can be seen in these patients, whereby minor trauma or surgery can result in the development of PG ulcerations. Here, we present a case of PG following pacemaker implantation. A 76-year-old male with a history of rheumatoid arthritis presented to the cardiology team with symptomatic bradycardia. Indications for implantation were met, and the procedure was performed in a routine fashion. The patient returned to clinic for follow-up four days later, complaining of pain at the incision site, coupled with erythema and purulent drainage. Consultations with an infectious disease specialist and a dermatologist were requested, and the diagnosis of pyoderma gangrenosum was considered. The patient underwent device removal and received systemic corticosteroids at a dose of 1 mg/kg prednisone with complete lesion healing in 3 weeks. While being maintained on steroids, the patient underwent reimplantation of a new pacemaker on the contralateral side without complication and had a normal postoperative course. We present this case report, along with the review of literature, in order to highlight the multidisciplinary approach to management, which requires dermatologic treatment in order to achieve pacemaker success.http://dx.doi.org/10.1155/2019/8010895 |
| spellingShingle | Noura Ayoubi Zaydi Javeed Raymond Cutro Brooke T. Baldwin Pyoderma Gangrenosum following Pacemaker Implantation: A Case Report and Review of Literature Case Reports in Cardiology |
| title | Pyoderma Gangrenosum following Pacemaker Implantation: A Case Report and Review of Literature |
| title_full | Pyoderma Gangrenosum following Pacemaker Implantation: A Case Report and Review of Literature |
| title_fullStr | Pyoderma Gangrenosum following Pacemaker Implantation: A Case Report and Review of Literature |
| title_full_unstemmed | Pyoderma Gangrenosum following Pacemaker Implantation: A Case Report and Review of Literature |
| title_short | Pyoderma Gangrenosum following Pacemaker Implantation: A Case Report and Review of Literature |
| title_sort | pyoderma gangrenosum following pacemaker implantation a case report and review of literature |
| url | http://dx.doi.org/10.1155/2019/8010895 |
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