Severe skin reactions from interventional fluoroscopy: case report and review of the literature.
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.
Wagner
L K
LK
Department of Radiology, University of Texas-Houston Health Science Center Medical School 77030, USA. Louis.K.Wagner@uth.tmc.edu
McNeese
M D
MD
Marx
M V
MV
Siegel
E L
EL
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