title: [Fluoroscopy-induced Subacute Radiation Dermatitis in Patient with Hepatocellular Carcinoma].
abstract: Radiation dermatitis can develop after fluoroscopy-guided interventional procedures. Cases of fluoroscopy-induced radiation dermatitis have been reported since 1996, mostly documented in the fields of radiology, cardiology and dermatology. Since diagnosis and treatment of fluoroscopy-induced radiation dermatitis can be difficult, high grade of suspicion is required. The extent of this reaction is determined by radiation dose, duration of exposure, type of procedure, and host factors and can be aggravated by concomitant use of photosensitizers. Follow-up is important after long and complicated procedures and efforts to minimize radiation exposure time will be necessary to prevent radiation dermatitis. Herein, we report a case of a 58-year-old man with hepatocellular carcinoma presenting with subacute radiation dermatitis after prolonged fluoroscopic exposure during transarterial chemoembolization and chemoport insertion. Physicians should be aware that fluoroscopy is a potential cause of radiation dermatitis.
authors.affiliation: Department of Internal Medicine, CHA University, Seongnam, Korea.
authors.forename: Bo Hye
authors.initials: BH
authors.lastname: Kim
authors.affiliation: Department of Internal Medicine, CHA University, Seongnam, Korea.
authors.forename: Hee Kyung
authors.initials: HK
authors.lastname: Kim
authors.affiliation: Department of Internal Medicine, CHA University, Seongnam, Korea.
authors.forename: Jae Kyung
authors.initials: JK
authors.lastname: Shin
authors.affiliation: Department of Internal Medicine, CHA University, Seongnam, Korea.
authors.forename: Hee Jin
authors.initials: HJ
authors.lastname: Hong
authors.affiliation: Department of Internal Medicine, CHA University, Seongnam, Korea.|Division of Gastroenterology and Hepatology, Department of Internal Medicine, CHA Bundang Medical Center, Seongnam, Korea.
authors.forename: Joo Ho
authors.initials: JH
authors.lastname: Lee
authors.affiliation: Department of Internal Medicine, CHA University, Seongnam, Korea.|Division of Gastroenterology and Hepatology, Department of Internal Medicine, CHA Bundang Medical Center, Seongnam, Korea.
authors.forename: Hana
authors.initials: H
authors.lastname: Park
authors.affiliation: Department of Internal Medicine, CHA University, Seongnam, Korea.|Division of Gastroenterology and Hepatology, Department of Internal Medicine, CHA Bundang Medical Center, Seongnam, Korea.
authors.forename: Seong Gyu
authors.initials: SG
authors.lastname: Hwang
authors.affiliation: Department of Internal Medicine, CHA University, Seongnam, Korea.|Division of Gastroenterology and Hepatology, Department of Internal Medicine, CHA Bundang Medical Center, Seongnam, Korea.
authors.forename: Kyu Sung
authors.initials: KS
authors.lastname: Rim
mesh_terms: D006528:Carcinoma, Hepatocellular / Q000532:radiotherapy*; D004621:Embolization, Therapeutic; D005471:Fluoroscopy; D005472:Fluorouracil / Q000627:therapeutic use; D005720:Gamma Rays; D006801:Humans; D008113:Liver Neoplasms / Q000532:radiotherapy*; D008297:Male; D008875:Middle Aged; D011855:Radiodermatitis / Q000175:diagnosis* / Q000473:pathology
chemical_list: D005472:Fluorouracil
keywords: Fluoroscopy; Hepatocellular carcinoma; Radiation-induced dermatitis; Therapeutic chemoembolization