Skin Lesion after Repeated Fluoroscopically Guided Procedures: A Case Report.
- Author:
Hee Sang KIM
1
;
Kyung Hoi AHN
;
Dong Hwan YUN
;
Jin Ju OH
;
Yong Seol JEONG
;
Dong Hwan KIM
Author Information
1. Department of Rehabilitation Medicine, Kyunghee University College of Medicine.
- Publication Type:Case Report
- Keywords:
Fluoroscopy;
Radiation exposure;
Skin lesion;
Pigmentation
- MeSH:
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
- From:Journal of the Korean Academy of Rehabilitation Medicine
2001;25(4):729-733
- CountryRepublic of Korea
- Language:Korean
-
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.