We report the case of a 72-year-old patient sent by his dermatologist in January 2009 for a back burn. His medical history reported one coronarography and two coronaroplasties between September and October 2005. This enabled us to form the diagnosis of chronic radiodermatitis after coronaroplasty from literature data. The occurrence of chronic radiodermatitis of the back and axilla area after cardiac catheterization has been observed in many countries. It almost always occurred in patients who underwent difficult and long-acting procedures leading to high doses radiation. There is not always acute radiodermatitis. Lesions appear between three and 30 months after exposure or even later. They are well-defined four-sided centimetrics lesions going from simple radiodystrophy to ulceration such as late radionecrosis requiring surgical coverage procedure.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.anplas.2013.05.003 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Radiodermatitis lesions and medico-legal implications: a systematic review.
Clin Ter
November 2024
Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy.
Article Synopsis
- Percutaneous Transluminal Coronary Angioplasty (PTCA) is a cardiology procedure that helps restore blood flow in heart muscle, significantly lowering heart attack mortality rates, but it comes with potential complications like radiodermatitis due to radiation exposure.
- * The authors reviewed literature on radiation effects in fluoroscope-guided procedures, noting the challenge in determining a specific radiation dose linked to radiodermatitis.
- * The study emphasizes the medical-legal implications of radiodermatitis in PTCA, as it could lead to compensation claims against healthcare professionals, and offers guidelines for assessing healthcare responsibility and potential damages.
Case report of a delayed diagnosis of radiation induced ulcer in a patient following angioplasty.
SAGE Open Med Case Rep
October 2024
Department of surgery, University of Sherbrooke, Sherbrooke, QC, Canada.
Diagnosis of fluoroscopy-induced radiodermatitis remains challenging for dermatologists. We present a case report where a patient had predictable risks of developing chronic radiodermatitis, yet the diagnostic was delayed for over a year and a half. In the current absence of appropriate follow-ups in some institutions, dermatologists should keep high suspicion for chronic fluoroscopy-induced radiodermatitis when encountering lesions characteristic of radiation dermatitis without a history of radiotherapy, prompting the necessity to inquire about antecedents of fluoroscopy-guided interventions.
View Article and Find Full Text PDFThe Histopathology of Chronic "Radiation Conjunctivitis" Shows Diagnostic Features Similar to Those Seen in Radiation Dermatitis, Including Radiation Fibroblasts.
Head Neck Pathol
October 2024
Department of Ophthalmology, Massachusetts Eye and Ear, Harvard Medical School, Boston, MA, USA.
Purpose: Radiation therapy is a treatment modality for various ocular and ocular adnexal tumors. The histopathology of chronic radiation dermatitis has been well-described. The authors present two cases demonstrating and characterizing "chronic radiation conjunctivitis" which has not been histopathologically illustrated in detail.
View Article and Find Full Text PDFAdipose-derived stem cells apoptosis rejuvenate radiation-impaired skin in mice via remodeling and rearranging dermal collagens matrix.
Stem Cell Res Ther
September 2024
Department of Plastic Surgery, Nanfang Hospital, Southern Medical University, 1838 Guangzhou North Road, Guangzhou, 510515, Guangdong, People's Republic of China.
Background: Chronic radiation dermatitis (CRD) is a late consequence of radiation with high incidence in patients receiving radiotherapy. Conventional therapies often yield unsatisfactory results. Therefore, this study aimed to explore the therapeutic potential and mechanism of adipose-derived stem cells (ADSCs) for CRD, paving the way for novel regenerative therapies in clinical practice.
View Article and Find Full Text PDFRadiation-induced skin injury in the head and neck region: pathogenesis, clinics, prevention, treatment considerations and proposal for management algorithm.
Rep Pract Oncol Radiother
July 2024
Department of Dermatology, Poznan University of Medical Sciences, Poznan, Poland.
Article Synopsis
- - Head and neck cancers are becoming increasingly common, often requiring radiation therapy, which can cause significant skin injuries in the neck area due to its exposure to various harmful elements during treatment.
- - The existing research on radiation-induced skin injury (RISI) is inconsistent, with a notable lack of well-designed studies addressing both acute and chronic forms of RISI.
- - The article aims to discuss the causes of RISI, its symptoms, prevention strategies, and treatment options, ultimately proposing a treatment algorithm to manage these skin injuries effectively.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!