title: Ulcerated radiodermatitis induced after fluoroscopically guided stent implantation angioplasty.
abstract: Cases of radiation-induced skin injury after fluoroscopically guided procedures have been reported since 1996, though the majority of them have been published in Radiology and Cardiology literature, less frequently in Dermatology journals. Chronic radiation dermatitis induced by fluoroscopy can be difficult to diagnose; a high grade of suspicion is required. We report a case of an obese 46-year-old man with hypertension, dyslipidemia, and severe coronary artery disease. He developed a pruritic and painful atrophic ulcerated skin plaque over his left scapula, six months after fluoroscopically guided stent implantation angioplasty. The diagnosis of radiodermatitis was confirmed histologically. We report this case to emphasize the importance of recognizing fluoroscopy as a cause of radiation dermatitis. A good clinical follow-up at regular intervals is important after long and complicated procedures, since the most prevalent factor for injury is long exposure time.
authors.affiliation: Dermatology Department, Hospital Universitario "Dr. José Eleuterio González," Universidad Autónoma de Nuevo León, Monterrey, Mexico.
authors.forename: Maira Elizabeth
authors.initials: ME
authors.lastname: Herz-Ruelas
authors.affiliation: Dermatology Department, Hospital Universitario "Dr. José Eleuterio González," Universidad Autónoma de Nuevo León, Monterrey, Mexico.
authors.forename: Minerva
authors.initials: M
authors.lastname: Gómez-Flores
authors.affiliation: Christus Mugerza Sur Hospital, Monterrey, Mexico.
authors.forename: Joaquín
authors.initials: J
authors.lastname: Moxica-Del Angel
authors.affiliation: Pathology Department, Hospital Universitario "Dr. José Eleuterio González," Universidad Autónoma de Nuevo León, Monterrey, Mexico.
authors.forename: Ivett
authors.initials: I
authors.lastname: Miranda-Maldonado
authors.affiliation: School of Medicine, Universidad Autónoma de Nuevo León, Monterrey, Mexico.
authors.forename: Ilse Marilú
authors.initials: IM
authors.lastname: Gutiérrez-Villarreal
authors.affiliation: Dermatology Department, Hospital Universitario "Dr. José Eleuterio González," Universidad Autónoma de Nuevo León, Monterrey, Mexico.
authors.forename: Guillermo Antonio
authors.identifier: 0000-0002-2136-0545
authors.initials: GA
authors.lastname: Guerrero-González
authors.affiliation: Christus Mugerza Sur Hospital, Monterrey, Mexico.
authors.forename: Adriana Orelia
authors.initials: AO
authors.lastname: Villarreal-Rodríguez