title: Severe skin reactions from interventional fluoroscopy: case report and review of the literature.
abstract: Some patients with certain preexisting health conditions may be at elevated risk for unusually intense radiation-induced skin reactions and late tissue damage from high-dose interventional procedures. The authors present a case report of a patient with mixed connective tissue disease and non-insulin-dependent diabetes mellitus who developed an unusual complication after placement of a transjugular intrahepatic portosystemic shunt. On the basis of a review of the literature, the following experiences may help identify patients at increased risk: previous high-dose procedures, connective tissue disease, diabetes mellitus, and homozygosity for ataxia telangiectasia.
authors.affiliation: Department of Radiology, University of Texas-Houston Health Science Center Medical School 77030, USA. Louis.K.Wagner@uth.tmc.edu
authors.forename: L K
authors.initials: LK
authors.lastname: Wagner
authors.forename: M D
authors.initials: MD
authors.lastname: McNeese
authors.forename: M V
authors.initials: MV
authors.lastname: Marx
authors.forename: E L
authors.initials: EL
authors.lastname: Siegel
mesh_terms: D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D004307:Dose-Response Relationship, Radiation; D005471:Fluoroscopy; D006801:Humans; D008297:Male; D008875:Middle Aged; D008947:Mixed Connective Tissue Disease / Q000150:complications; D019168:Portasystemic Shunt, Transjugular Intrahepatic; D011855:Radiodermatitis / Q000209:etiology*; D015642:Radiology, Interventional; D012307:Risk Factors