[Radiodermatitis in interventional radiology (hand dose measurement, screening and compensation)].
It is to be feared that the expansion of interventional radiology could lead to the reappearance of chronic radiodermatitis. Only a few studies mention the doses received by the hands, however these radiation doses are always high. Whereas clinical examinations lead to a belated diagnosis, capillary microscopy, a quick and non invasive test, enables to detect vascular injuries at the subclinical stage. Radiological protection is currently based on leaded gloves and on the reduction of exposure duration. Compensation for chronic radiodermatitis depends on the practitioner's status. In spite of a better evaluation of the overall irradiation, hand exposure remains a cause for concern. Capillary microscopy can provide appropriate medical surveillance.
Service de pathologie professionnelle, hôpital Cochin, Paris. artignan@voila.fr
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D002908:Chronic Disease; D009783:Dermatitis, Occupational / Q000209:etiology* / Q000517:prevention & control*; D005602:France; D006229:Hand Dermatoses / Q000209:etiology* / Q000517:prevention & control*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009313:National Health Programs / Q000331:legislation & jurisprudence; D016272:Occupational Health / Q000331:legislation & jurisprudence; D011331:Private Practice / Q000331:legislation & jurisprudence; D011834:Radiation Monitoring / Q000331:legislation & jurisprudence / Q000379:methods; D011835:Radiation Protection / Q000331:legislation & jurisprudence / Q000379:methods; D011855:Radiodermatitis / Q000209:etiology* / Q000517:prevention & control*; D015641:Radiography, Interventional / Q000009:adverse effects*; D015642:Radiology, Interventional / Q000331:legislation & jurisprudence