title: Radiation-induced skin ulcer and rib fractures following percutaneous coronary intervention (PCI): A case of right back skin ulcer and adjacent rib fractures after single PCI.
abstract: We experienced a 75-year-old male patient with a refractory and severely painful skin ulcer on the right back. He had suffered from ischemic heart disease and undergone percutaneous coronary intervention 5 months prior to the consultation with us. The characteristic clinical appearance, location of the lesion and his past medical history led us to the diagnosis of radiation-induced skin ulcer. Magnetic resonance imaging, computed tomography as well as bone scintigraphy showed fractures of the right back rib adjacent to the ulcer, which was thought to be attributable to bone damage due to X-ray radiation and/or persistent secondary inflammation of the chronic ulcer. In the published work, there are no other reports of bone fractures associated with radiation dermatitis after coronary interventional radiology.
authors: Department of Dermatology, Fukuoka Higashi Medical Center, Fukuoka, Japan; Department of Dermatology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
authors: Yumi
authors: Y
authors: Yasukochi
authors: Takeshi
authors: T
authors: Nakahara
authors: Akihiro
authors: A
authors: Koike
authors: Ryutaro
authors: R
authors: Ichikawa
authors: Tetsuya
authors: T
authors: Koga
authors: Masutaka
authors: M
authors: Furue
mesh_terms: D000368:Aged; D001415:Back; D006801:Humans; D008297:Male; D062645:Percutaneous Coronary Intervention / Q000009:adverse effects*; D011832:Radiation Injuries / Q000150:complications*; D015642:Radiology, Interventional; D012253:Rib Fractures / Q000209:etiology*; D012272:Ribs / Q000528:radiation effects*; D012883:Skin Ulcer / Q000209:etiology*
keywords: interventional radiology; percutaneous coronary intervention; radiation dermatitis; rib fracture; skin ulcer