J Korean Med Assoc.  2019 Apr;62(4):197-201. 10.5124/jkma.2019.62.4.197.

Dermatoses due to physical forces agents

• Lee JD

• KMID: 2442735
• DOI: http://doi.org/10.5124/jkma.2019.62.4.197

Abstract

Physical forces agents may induce distinctive skin changes. Pressure and friction induce callus and corn. Callus and corn arise at sites of friction or pressure, particularly palms and soles, and especially the bony prominences of the joints. Pressure, shearing forces, friction, and moisture are main etiologic factors of pressure ulcer. The pressure ulcer is caused by ischemia of the underlying structures of the skin, fat, and muscles. Skin has long been known to be a very radiosensitive organ. Skin changes after radiation exposure follow a predictable course dictated by radiation dose, timing, and the biology of the human inflammatory reaction. When the skin is exposed to radiation, acute radiation dermatitis, chronic radiation dermatitis, skin cancer, and radiation recall dermatitis may be developed.

Keyword

Bony callus; Corn; Pressure ulcer; Radiation

MeSH Terms

Biology
Bony Callus
Dermatitis
Friction
Humans
Ischemia
Joints
Muscles
Pressure Ulcer
Radiation Exposure
Radiodermatitis
Skin
Skin Diseases*
Skin Neoplasms
Zea mays

Reference

1. Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, Wolff K, editors. Fitzpatrick's dermatology in general medicine. 8th ed. New York: McGraw-Hill;2012.

2. James WD, Berger TG, Elston DM. Andrews' diseases of the skin: clinical dermatology. 11st ed. Philadelphia: Saunders;2011.

3. Choi MJ, Lee SW, Kim JW, Koh BK. A case of a corn developed on an unusual site. Korean J Dermatol. 2004; 42:345–346.

4. Kim JH, Jeong SY, Seo SH, Son SW, Kim IH. Negative pressure dressing in the management of decubitus ulcer. Korean J Dermatol. 2008; 46:682–685.

5. Worthing RM, Percy RL, Joslin JD. Prevention of friction blisters in outdoor pursuits: a systemic review. Wilderness Environ Med. 2017; 28:139–149.

6. Uebbing CM, Walsh M, Miller JB, Abraham M, Arnold C. Fracture blisters. West J Emerg Med. 2011; 12:131–133.

7. Moon YS, Jo JW, Kim CY. Chronic radiation dermatitis induced by endoscopic retrograde cholangiopancreatoscopy (ERCP). Korean J Dermatol. 2018; 56:385–388.

8. Cho EB, Song BH, Park EJ, Kwon IH, Kim KH, Kim KJ. Fluoroscopy-induced chronic radiation dermatitis. Korean J Dermatol. 2012; 50:614–617.

9. Kim HM, Lee SH, Kim CY. Erlotinib HCL (Tarceva) induced radiation recall dermatitis. Korean J Dermatol. 2010; 48:872–875.