title: Management of ionizing radiation injuries and illnesses, part 5: local radiation injury.
abstract: This final article in the series on the medical management of ionizing radiation injuries and illnesses focuses on the effects of acute ionizing radiation exposure to one of the largest organ systems of the body-the skin. These injuries may extend beyond the skin into deeper tissues and cause local radiation injury. There are numerous causes of these injuries, ranging from industrial incidents to medical procedures. In the present article, the authors characterize the clinical course, pathophysiologic process, sources of injury, diagnosis, and management of local radiation injury and describe a clinical scenario. This information is important for primary care physicians, to whom patients are likely to initially present with such injuries.
authors.affiliation: From the Radiation Emergency Assistance Center/Training Site (REAC/TS), Oak Ridge Institute for Science and Education in Tennessee (Drs Iddins, Christensen, and Goans); the Division of Emergency Medicine at Einstein Medical Center in Elkins Park and Philadelphia University in Pennsylvania (Dr Parrillo); National Security and Emergency Management Programs at the Oak Ridge Institute for Science and Education in Tennessee (Mr Glassman); and the Division of Radiological Engineering at MJW Corporation in Oak Ridge, Tennessee (Dr Goans).
authors.forename: Carol J
authors.initials: CJ
authors.lastname: Iddins
authors.affiliation: From the Radiation Emergency Assistance Center/Training Site (REAC/TS), Oak Ridge Institute for Science and Education in Tennessee (Drs Iddins, Christensen, and Goans); the Division of Emergency Medicine at Einstein Medical Center in Elkins Park and Philadelphia University in Pennsylvania (Dr Parrillo); National Security and Emergency Management Programs at the Oak Ridge Institute for Science and Education in Tennessee (Mr Glassman); and the Division of Radiological Engineering at MJW Corporation in Oak Ridge, Tennessee (Dr Goans).
authors.forename: Doran M
authors.initials: DM
authors.lastname: Christensen
authors.affiliation: From the Radiation Emergency Assistance Center/Training Site (REAC/TS), Oak Ridge Institute for Science and Education in Tennessee (Drs Iddins, Christensen, and Goans); the Division of Emergency Medicine at Einstein Medical Center in Elkins Park and Philadelphia University in Pennsylvania (Dr Parrillo); National Security and Emergency Management Programs at the Oak Ridge Institute for Science and Education in Tennessee (Mr Glassman); and the Division of Radiological Engineering at MJW Corporation in Oak Ridge, Tennessee (Dr Goans).
authors.forename: Steven J
authors.initials: SJ
authors.lastname: Parrillo
authors.affiliation: From the Radiation Emergency Assistance Center/Training Site (REAC/TS), Oak Ridge Institute for Science and Education in Tennessee (Drs Iddins, Christensen, and Goans); the Division of Emergency Medicine at Einstein Medical Center in Elkins Park and Philadelphia University in Pennsylvania (Dr Parrillo); National Security and Emergency Management Programs at the Oak Ridge Institute for Science and Education in Tennessee (Mr Glassman); and the Division of Radiological Engineering at MJW Corporation in Oak Ridge, Tennessee (Dr Goans) erik.glassman@orise.orau.gov.
authors.forename: Erik S
authors.initials: ES
authors.lastname: Glassman
authors.affiliation: From the Radiation Emergency Assistance Center/Training Site (REAC/TS), Oak Ridge Institute for Science and Education in Tennessee (Drs Iddins, Christensen, and Goans); the Division of Emergency Medicine at Einstein Medical Center in Elkins Park and Philadelphia University in Pennsylvania (Dr Parrillo); National Security and Emergency Management Programs at the Oak Ridge Institute for Science and Education in Tennessee (Mr Glassman); and the Division of Radiological Engineering at MJW Corporation in Oak Ridge, Tennessee (Dr Goans).
authors.forename: Ronald E
authors.initials: RE
authors.lastname: Goans
mesh_terms: D006801:Humans; D011829:Radiation Dosage; D011832:Radiation Injuries / Q000175:diagnosis / Q000628:therapy*; D011839:Radiation, Ionizing