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Case Reports
. 2024 Oct 9:12:2050313X241289593.
doi: 10.1177/2050313X241289593. eCollection 2024.

Case report of a delayed diagnosis of radiation induced ulcer in a patient following angioplasty

Gabrielle Harvey  1 , Andréanne Waddell  2 , Marc-Antoine Despatis  3
Affiliations
Case Reports

Case report of a delayed diagnosis of radiation induced ulcer in a patient following angioplasty

Gabrielle Harvey et al. SAGE Open Med Case Rep. .

Abstract

Diagnosis of fluoroscopy-induced radiodermatitis remains challenging for dermatologists. We present a case report where a patient had predictable risks of developing chronic radiodermatitis, yet the diagnostic was delayed for over a year and a half. In the current absence of appropriate follow-ups in some institutions, dermatologists should keep high suspicion for chronic fluoroscopy-induced radiodermatitis when encountering lesions characteristic of radiation dermatitis without a history of radiotherapy, prompting the necessity to inquire about antecedents of fluoroscopy-guided interventions.

Keywords: Fluoroscopy-induced; chronic radiodermatitis; deterministic effect; mesenteric angioplasty; radiation injury; radiation ulcer.

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Conflict of interest statement

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
(a) Shows chronic FIRD before biopsies. Note erythematous border with central ulceration. (b) After punch biopsies: worsening of the ulcer with a reduction in redness. FIRD: fluoroscopy-induced radiodermatitis.
Figure 2.
Figure 2.
Opening of the wound showing removal of the affected tissue during the surgery in January 2023. Muscles are showing.
Figure 3.
Figure 3.
(a) Recently closed wound in January 2023. (b) Healed wound 7 months later.
See this image and copyright information in PMC

References

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