Abstract
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.
MeSH terms
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Aged
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Anti-Inflammatory Agents / administration & dosage
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Diabetes Complications / etiology
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Female
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Heart Block / complications
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Heart Block / surgery
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Heart Failure / complications
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Heart Failure / surgery
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Humans
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Inflammation / drug therapy
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Inflammation / etiology
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Inflammation / pathology
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Pacemaker, Artificial* / adverse effects
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Paraproteinemias / complications
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Paraproteinemias / surgery
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Postoperative Complications* / drug therapy
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Postoperative Complications* / pathology
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Prednisone / administration & dosage
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Pyoderma Gangrenosum / drug therapy
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Pyoderma Gangrenosum / etiology*
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Pyoderma Gangrenosum / pathology
Substances
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Anti-Inflammatory Agents
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Prednisone