FLUOROSCOPY-INDUCED SKIN NECROSIS

By Gary M. White, MD


Fluoroscopy used during a medical procedure can rarely cause radiation injury to the skin. This is a form of radiation dermatitis.

Clinical

Redness, crusting and inflammation may be seen acutely. In severe cases, ulceration may occur. These changes typically on the back near the scapula after percutaneous transluminal coronary angioplasty.

Treatment

Local wound care is in order for the acute changes. A potent topical steroid ointment may be given. Healing may be expected. However, a localized area of fibrosis, telangiectasia, and poikiloderma develops 1-2 years after the exposure.

References

A 59-year-old man with extensive coronary artery disease and history of multiple revascularization procedures, presented with an ulcer on his left inferior scapular region Dermatology Online Journal 22:8

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