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Case Reports
. 2016 May 10:2016:bcr2016214384.
doi: 10.1136/bcr-2016-214384.

Radiodermatitis after spinal arteriovenous fistula embolisation

Elena Marinello  1 , Francesco Causin  2 , Marta Benedetta Brumana  1 , Mauro Alaibac  1
Affiliations
Case Reports

Radiodermatitis after spinal arteriovenous fistula embolisation

Elena Marinello et al. BMJ Case Rep. .

Abstract

We report acute radiation dermatitis on a patient's back and left arm, which developed 4 weeks after endovascular embolisation of a spinal arteriovenous malformation. Vesciculation and erosions were followed by a gradual re-epithelisation of the skin resulting in rectangular hyperpigmented patches that resolved almost completely within 1 month. Fluoroscopic radiodermatitis has been reported with more frequency over the past decades because of the rise in duration and number of procedures performed under fluoroscopic guidance. Articles concerning this issue are mostly limited to case reports after coronary interventions, renal artery catheterisations, transjugular intrahepatic portosystemic shunt procedures and embolisations of intracranial arteriovenous malformation. To the best of our knowledge, only two cases of radiation dermatitis after spinal arteriovenous malformation embolisation have been reported to date.

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Figures

Figure 1
Figure 1
One patch on the left arm and two patches on the back characterised by erythema, faint oedema and well-defined borders.
Figure 2
Figure 2
(A and B) Clinical improvement of the lesions after 4 weeks. The patches gradually resolved becoming hyperpigmented with fine scales.
See this image and copyright information in PMC

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