Kim Bo Hye, Kim Hee Kyung, Shin Jae Kyung, Hong Hee Jin, Lee Joo Ho, Park Hana, Hwang Seong Gyu, Rim Kyu Sung
Department of Internal Medicine, CHA University, Seongnam, Korea.
Division of Gastroenterology and Hepatology, Department of Internal Medicine, CHA Bundang Medical Center, Seongnam, Korea.
Korean J Gastroenterol. 2016 Feb;67(2):112-5. doi: 10.4166/kjg.2016.67.2.112.
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.
透视引导下的介入操作后可能会发生放射性皮炎。自1996年以来，已有透视诱发放射性皮炎的病例报道，大多记录于放射学、心脏病学和皮肤病学领域。由于透视诱发放射性皮炎的诊断和治疗可能具有挑战性，因此需要高度怀疑。这种反应的程度由辐射剂量、暴露持续时间、操作类型和宿主因素决定，同时使用光敏剂可能会加重病情。对于长时间和复杂的操作，随访很重要，并且有必要努力将辐射暴露时间降至最低以预防放射性皮炎。在此，我们报告一例58岁肝细胞癌男性患者，在经动脉化疗栓塞和置入化疗端口过程中长时间透视暴露后出现亚急性放射性皮炎。医生应意识到透视是放射性皮炎的一个潜在病因。
