Chronic radiodermatitis is a rare complication of fluoroscopy-guided procedures. The diagnosis of fluoroscopy-induced chronic radiation dermatitis is challenging because of its rarity, late insidious onset, and close clinicopathological resemblance to morphea. We report two cases of fluoroscopy-induced chronic radiodermatitis following cardiac procedures to highlight the clinicopathological features. The diagnosis relies on recognizing the characteristic clinical presentation of well-demarcated, rectangular- or square-shaped indurated plaque with depigmentation, telangiectasia, and ulceration located on the scapula, back, or axilla; supported by the histological identification of radiation fibroblasts in a sclerotic dermis.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.4103/IJPM.IJPM_566_17 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
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 PDFChronic radiation dermatitis induced by cardiac catheterization: a case report and literature review.
Acta Dermatovenerol Alp Pannonica Adriat
December 2022
Department of Dermatology, Changhua Christian Hospital, Changhua, Taiwan.
Article Synopsis
- Fluoroscopy-induced chronic radiation dermatitis (FICRD) is a rare but increasingly recognized skin condition that develops months to years after radiation exposure, making it difficult to diagnose because of its diverse symptoms.
- Patients undergoing cardiac catheterization are at higher risk for developing radiodermatitis due to factors like obesity, complex occlusion lesions, large beam angles, and prolonged procedure times.
- The case of a patient with FICRD, who had a hardened skin patch on his back for 7 years, is presented to help doctors identify vulnerable populations and the importance of early detection of this condition.
An innovative targeted therapy for fluoroscopy-induced chronic radiation dermatitis.
J Mol Med (Berl)
January 2022
Institute of Basic Medical Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Fluoroscopy-induced chronic radiation dermatitis (FICRD) is a complication of fluoroscopy-guided intervention. Unlike acute radiation dermatitis, FICRD is different as delayed onset and usually appears without preexisting acute dermatitis. Unfortunately, the chronic and progressive pathology of FICRD makes it difficult to treat, and some patients need to receive wide excision and reconstruction surgery.
View Article and Find Full Text PDFFluoroscopy-induced chronic radiation dermatitis masquerading as morphea: A diagnostic pitfall.
Indian J Pathol Microbiol
November 2018
Sundharam's Dermatology and Pediatric Centre, New Delhi, India.
Chronic radiodermatitis is a rare complication of fluoroscopy-guided procedures. The diagnosis of fluoroscopy-induced chronic radiation dermatitis is challenging because of its rarity, late insidious onset, and close clinicopathological resemblance to morphea. We report two cases of fluoroscopy-induced chronic radiodermatitis following cardiac procedures to highlight the clinicopathological features.
View Article and Find Full Text PDFFluoroscopy-induced chronic radiation dermatitis (FICRD) after endovascular abdominal aortic aneurysm endoleak repair.
JAAD Case Rep
November 2015
Department of Dermatology, Eastern Virginia Medical School, Norfolk, Virginia; Children's Hospital of the King's Daughters, Norfolk, Virginia.
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!