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Abstract
Sir, Reticular telangiectatic erythema associated with the implantation of a medical device is a rare entity, which must be considered as one of the differential diagnoses of a local infection or allergic contact dermatitis to prevent future extractions and/or replacement of the devices. [1] A 64-year-old woman with a medical history of idiopathic dilated cardiomyopathy and cardiac insufficiency developed an erythematous plaque on the chest, 1 week after the subcutaneous placement of an implantable automatic cardioverter defibrillator [BIOTRONIK LUMAX 340 HFT], overlying the site of implantation. [2],[3],[4],[5],[6],[7],[8],[9],[10],[11],[12],[13],[14],[15],[16] Although its pathophysiology is not completely clear, some authors suggest that it is likely due to the development of changes in the microcirculation secondary to the healing process, generating an obstruction of blood flow caused by the device or by the anatomical characteristics of the implanted sites.