J Korean Acad Rehabil Med.  2001 Aug;25(4):729-733.

Skin Lesion after Repeated Fluoroscopically Guided Procedures: A Case Report

• Kim HS
• Ahn KH
• Yun DH
• Oh JJ
• Jeong YS
• Kim DH

Abstract

The radiation exposure has multiple complication of various organs. Especially, the Food and Drug Administration has recently issued a bulletin warning of the risks of acute skin injury occurring during fluoroscopically guided procedures. Physicians need information about typical radiation doses during fluoroscopically guided various procedures and estimates of entrance skin dose must be monitored using thermoluminescent dosimetry, film badge dosimetry, pocket dosimetry and on-line computer system. Current National Council on Radiation Protection and Measurements recommended are that yearly total body dose should not exceed 50 mSv (5 rem) and that life time dose measured in millisieverts should not exceed one's age in years multiplied by 10. Types of skin injury are erythema, alopecia, dry desquamation, invasive fibrosis, dermal atropy, telangiectasia, moist desquamation, skin necrosis and secondary ulcer. Also, long-term exposure caused skin cancer. We experienced personally pigmentation on the finger nail and the hand after repeated fluoroscopically guided procedures. Thus, we report this case for giving warning to the physiatrist by the complications due to frequent exposure during procedures.

Keyword

Fluoroscopy; Radiation exposure; Skin lesion; Pigmentation

MeSH Terms

Alopecia
Computer Systems
Erythema
Fibrosis
Film Dosimetry
Fingers
Fluoroscopy
Hand
Humans
Necrosis
Pigmentation
Radiation Protection
Skin Neoplasms
Skin*
Telangiectasis
Thermoluminescent Dosimetry
Ulcer
United States Food and Drug Administration