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James G. Dinulos, MD; Brian Vath, MD; Christiane Beckmann, PhD; Marshall P. Welch, MD; Michael Piepkorn, MD, PhD

Arch Dermatol. 2001;137:1259-1261.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF A CASE

In December 1989, a 63-year-old woman with coronary artery disease and hypertension had an episode of ventricular fibrillation that required the placement of an implantable cardioverter defibrillator (ICD) (Model 7217B; Medtronic Inc, Minneapolis, Minn) in the left upper abdominal quadrant. Methicillin-resistant Staphylococcus aureus mediastinitis complicated the postoperative course, prompted complete ICD removal (generator and pericardial patch), and resulted in a third operation for a replacement ICD in the right lower abdominal quadrant (Model 7217B; Medtronic Inc). After 4 years, the new ICD did not administer therapeutic discharge and was nearing the end of battery life. On routine examination, the patient's physician noted 2 small asymptomatic erythematous patches on her abdomen, lateral to the generator implantation site. During ICD maintenance testing, the patient described tingling but denied burning, itching, and pain over the . . . [Full Text of this Article]

DIAGNOSTIC CHALLENGE

COMMENT

From the Dartmouth Hitchcock Medical Center, Lebanon, NH (Dr Dinulos), and University of Washington School of Medicine (Drs Dinulos, Beckmann, Welch, and Piepkorn), Swedish Medical Center (Dr Vath), and Children's Hospital and Regional Medical Center (Dr Beckmann), Seattle, Wash.

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