title: Fluoroscopy-induced chronic radiation dermatitis.
abstract: A 62-year-old man with a history of 2 previous cardiac catheterizations presented with an itchy, nontender skin lesion over his right scapula. The skin lesion had been present for >5 years. Review of the medical records found evidence of a prolonged and complicated cardiac catheterization 8 years previously. Physical examination revealed an 8 × 6 cm, well-demarcated, erythematous reticulated atrophic plaque with telangiectasias and ulceration. Biopsy confirmed histologic changes consistent with radiation dermatitis. In conclusion, the characteristic histologic findings of radiation dermatitis, along with the location over the right scapula and the history of prolonged fluoroscopic exposure during cardiac catheterization, led to the clinical diagnosis of fluoroscopy-induced chronic radiation dermatitis.
authors.affiliation: West Virginia University School of Medicine, Morgantown, West Virginia, USA. alison.spiker@gmail.com
authors.forename: Alison
authors.initials: A
authors.lastname: Spiker
authors.forename: Zachary
authors.initials: Z
authors.lastname: Zinn
authors.forename: William H
authors.initials: WH
authors.lastname: Carter
authors.forename: Roxann
authors.initials: R
authors.lastname: Powers
authors.forename: Rodney
authors.initials: R
authors.lastname: Kovach
mesh_terms: D006328:Cardiac Catheterization / Q000009:adverse effects*; D005471:Fluoroscopy / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011855:Radiodermatitis / Q000209:etiology* / Q000473:pathology