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Carl Raque, MD; Herbert Goldschmidt, MD

Arch Dermatol. 1970;102(6):646-649.

Abstract
A circumscribed eczematous dermatitis occurred over the site of a cardiac pacemaker implantation. The patient subsequently developed nummular eczematous lesions of the left axilla, left ankle, and hands and wrists. Possible mechanisms include: (1) primary irritant dermatitis to medical grade silicone elastomer (Silastic Medical Adhesive Silicone type A); and (2) a nummular eczema analogous to that which sometimes follows allergic contact dermatitis to nickel or chromium.

Author Affiliations
Philadelphia

From the Department of Dermatology, University of Pennsylvania School of Medicine, Philadelphia.

Footnotes
Accepted for publication June 15, 1970.

Reprint requests to Hospital of the University of Pennsylvania, Department of Dermatology, Duhring Laboratories, 3600 Spruce St, Philadelphia 19104 (Dr. Raque).

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