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Case Reports in Dermatological Medicine
Volume 2014, Article ID 768624, 3 pages
http://dx.doi.org/10.1155/2014/768624
Case Report

Ulcerated Radiodermatitis Induced after Fluoroscopically Guided Stent Implantation Angioplasty

1Dermatology Department, Hospital Universitario “Dr. José Eleuterio González,” Universidad Autónoma de Nuevo León, Monterrey, Mexico
2Christus Mugerza Sur Hospital, Monterrey, Mexico
3Pathology Department, Hospital Universitario “Dr. José Eleuterio González,” Universidad Autónoma de Nuevo León, Monterrey, Mexico
4School of Medicine, Universidad Autónoma de Nuevo León, Monterrey, Mexico

Received 29 July 2014; Revised 21 August 2014; Accepted 23 August 2014; Published 3 September 2014

Academic Editor: Julia Y. Lee

Copyright © 2014 Maira Elizabeth Herz-Ruelas et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Cases of radiation-induced skin injury after fluoroscopically guided procedures have been reported since 1996, though the majority of them have been published in Radiology and Cardiology literature, less frequently in Dermatology journals. Chronic radiation dermatitis induced by fluoroscopy can be difficult to diagnose; a high grade of suspicion is required. We report a case of an obese 46-year-old man with hypertension, dyslipidemia, and severe coronary artery disease. He developed a pruritic and painful atrophic ulcerated skin plaque over his left scapula, six months after fluoroscopically guided stent implantation angioplasty. The diagnosis of radiodermatitis was confirmed histologically. We report this case to emphasize the importance of recognizing fluoroscopy as a cause of radiation dermatitis. A good clinical follow-up at regular intervals is important after long and complicated procedures, since the most prevalent factor for injury is long exposure time.