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脑动脉瘤栓塞术后放射性暂时性脱发

Radiation-induced temporary alopecia after embolization of cerebral aneurysm.

作者信息

Verma Shyam, Srinivas Cr, Thomas Maria

机构信息

Nirvana Skin Clinic, Makarpura Main Road, Vadodara, Gujarat, India.

Department of Dermatology, PSG Hospitals, Peelamedu, Coimbatore, Tamil Nadu, India.

出版信息

Indian J Dermatol. 2014 Nov;59(6):633. doi: 10.4103/0019-5154.143584.

DOI:10.4103/0019-5154.143584
PMID:25484428
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4248536/
Abstract

A 47-year-old Indian woman with dark hair developed dramatic alopecia of the occipito-vertical area two weeks after a fluoroscopically-guided endovascular procedure for treatment of cerebral aneurysm. There was spontaneous repopulation of hair in 14 weeks. Neuro-radiological intervention procedures are becoming commoner by the day in India, and the rare but documented possibility of such reactions occurring in patients should be kept in mind by the treating surgeon as well as dermatologist. Necessary counseling regarding this uncommon side-effect is of essence, especially when the radiation dose exceeds 3 Gy. We believe this is the first case ever reported in Indian dermatology literature.

摘要

一名47岁的印度黑发女性,在接受荧光镜引导下的血管内手术治疗脑动脉瘤两周后,枕顶部出现了严重脱发。14周后头发自发重新生长。在印度,神经放射介入手术日益普遍,治疗外科医生和皮肤科医生都应牢记患者发生这种罕见但有记录的反应的可能性。对于这种不常见的副作用进行必要的咨询至关重要,尤其是当辐射剂量超过3 Gy时。我们认为这是印度皮肤病学文献中报道的首例此类病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/300f/4248536/39d01ebedce6/IJD-59-633f-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/300f/4248536/0732b4372ffd/IJD-59-633f-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/300f/4248536/cd98c973209e/IJD-59-633f-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/300f/4248536/39d01ebedce6/IJD-59-633f-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/300f/4248536/0732b4372ffd/IJD-59-633f-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/300f/4248536/cd98c973209e/IJD-59-633f-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/300f/4248536/39d01ebedce6/IJD-59-633f-g003.jpg

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Radiation-induced temporary alopecia after embolization of cerebral aneurysm.脑动脉瘤栓塞术后放射性暂时性脱发
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引用本文的文献

1
Alopecia Induced by Fluoroscopy-guided Embolization: A Case Report.透视引导下栓塞术所致脱发:一例报告
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2
Transient Alopecia after Embolization of Intracranial Aneurysm: Case Report and Review.颅内动脉瘤栓塞术后短暂性脱发:病例报告及文献复习
Int J Trichology. 2022 Jul-Aug;14(4):141-143. doi: 10.4103/ijt.ijt_94_20. Epub 2022 Jul 16.
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Intermittent chronic telogen effluvium with an unusual dermoscopic finding following COVID-19.

本文引用的文献

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Temporary alopecia after embolization of an arteriovenous malformation.
Dermatol Online J. 2012 Sep 15;18(9):14.
2
Is hair loss a reality in neuro-interventional radiology?脱发在神经介入放射学中是一个现实问题吗?
Radiat Prot Dosimetry. 2011 Sep;147(1-2):68-71. doi: 10.1093/rpd/ncr270. Epub 2011 Jul 5.
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Direct measurement of patient's entrance skin dose during neurointerventional procedure to avoid further radiation-induced skin injuries.在神经介入手术过程中直接测量患者的皮肤入射剂量,以避免进一步的辐射性皮肤损伤。
新型冠状病毒肺炎后出现间歇性慢性休止期脱发并伴有异常皮肤镜表现
Clin Case Rep. 2022 Aug 9;10(8):e6228. doi: 10.1002/ccr3.6228. eCollection 2022 Aug.
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Anagen Effluvium after Neurointerventional Radiation: Trichoscopy as a Diagnostic Ally.神经介入放射治疗后的生长期脱发:毛囊镜作为诊断辅助手段
Skin Appendage Disord. 2022 Mar;8(2):102-107. doi: 10.1159/000518743. Epub 2021 Sep 14.
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Three Cases of Radiation-induced Temporary Alopecia with Hair Microscopic Examination: "Coudability Hair" Might Not be Specific for Alopecia Areata.三例放射性暂时性脱发伴毛发显微镜检查:“弯曲毛发”可能并非斑秃所特有。
Int J Trichology. 2018 Jan-Feb;10(1):40-43. doi: 10.4103/ijt.ijt_74_17.
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Radiation-Induced Alopecia after Endovascular Embolization under Fluoroscopy.透视引导下血管内栓塞术后放射性脱发
Case Rep Dermatol Med. 2016;2016:8202469. doi: 10.1155/2016/8202469. Epub 2016 Dec 15.
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Fluoroscopically guided interventional procedures: a review of radiation effects on patients' skin and hair.荧光透视引导下的介入性操作:对患者皮肤和毛发的辐射影响的综述。
Radiology. 2010 Feb;254(2):326-41. doi: 10.1148/radiol.2542082312.
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Radiation-induced temporary alopecia after embolization of cerebral aneurysms.脑动脉瘤栓塞术后放射性诱导的暂时性脱发
Dermatol Online J. 2008 Jul 15;14(7):19.
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Radiation-induced temporary alopecia after embolization of cerebral arteriovenous malformations.脑动静脉畸形栓塞术后放射性暂时性脱发
Clin Neurol Neurosurg. 2003 Jul;105(3):215-7. doi: 10.1016/s0303-8467(03)00007-6.
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Absorbed dose and deterministic effects to patients from interventional neuroradiology.介入神经放射学对患者的吸收剂量和确定性效应。
Br J Radiol. 2000 Jul;73(871):745-51. doi: 10.1259/bjr.73.871.11089467.
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