Case report, case study
Chronic Radiodermatitis Following Repeated Coronary Interventions in a Patient with Psoriasis: A Case Report
Lara Vasari
; Naftalan – Special Hospital for Skin and Rheumatic Diseases, Ivanić-Grad, C
Gordana Krnjević-Pezić
; Naftalan – Special Hospital for Skin and Rheumatic Diseases, Ivanić-Grad, C
Lucija Tomić Babić
; Naftalan – Special Hospital for Skin and Rheumatic Diseases, Ivanić-Grad, C
Mirna Bradamante
; Department of Dermatovenereology, University Hospital Center Zagreb, Croatia
*
* Corresponding author.
Abstract
Fluoroscopy-induced radiodermatitis, whether acute or chronic,
is a complication of fluoroscopy-guided cardiac diagnostic and interventional
procedures. Repeated cardiac catheterization and coronary angioplasty procedures,
prolonged exposure time and, radiation doses greater than 10-12 Gy are
the culprits in the development of skin inflammation. Acute radiodermatitis usually
develops within two weeks after the procedure and is easily recognized clinically,
whereas the chronic form can have a long latent period of almost ten years.
Clinical symptoms of chronic disease caused by excessive irradiation include atrophy,
sclerosis, telangiectasia, pigmentary changes, ulceration, and even the
development of malignant neoplasms. We describe a patient with a history of
psoriasis in whom chronic radiodermatitis developed after six fluoroscopic cardiac
procedures, and the diagnosis established approximately four years after
the last catheterization
Keywords
Hrčak ID:
346950
URI
Publication date:
26.2.2025.
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