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ESPERIENZE DERMATOLOGICHE

A Journal on Dermatology


Journal of Istituto Dermatologico San Gallicano
Official Journal of the Associazione Dermatologi Ospedalieri Italiani - A.D.O.I.
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Esperienze Dermatologiche 2011 September;13(3):123-6

Copyright © 2011 EDIZIONI MINERVA MEDICA

language: English, Italian

A case of chronic radiodermatitis following cardiac catheterization

Celasco M. 1, Zavattaro E. 1, Farinelli P. 1, Ugolini M. 1, Delrosso G. 1, Loria F. 2, Valente G. 3, Colombo E. 1

1 Clinica Dermatologica, Dipartimento di Medicina Clinica e Sperimentale, Università degli Studi del Piemonte, Orientale Amedeo Avogadro, Novara, Italia; 2 II Divisione di Cardiologia, Dipartimento di Medicina Clinica e Sperimentale, Università degli Studi del Piemonte, Orientale Amedeo Avogadro, Novara, Italia; 3 Anatomia Patologica, Dipartimento di Medicina Clinica e Sperimentale, Università degli Studi del Piemonte Orientale Amedeo Avogadro, Novara, Italia


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The increasing use of cardiac catheterization (percutaneous transluminal coronary angioplasty [PTCA] and coronarography) in recent years has resulted in a rise in the number of cases of chronic radiodermatitis. This clinical entity develops years after exposure to ionizing radiation and is caused by objective (radiation dose received) and subjective factors. Here we report the case of a patient who presented because of chronic radiodermatitis which had occurred about 15 years after exposure to ionizing radiation and was initially diagnosed as isolated scleroderma. Histopathology of the plaque led to the correct diagnosis and the patient is currently being followed up. The elements of this case underline the need to recognize radiodermatitis and establish prompt diagnosis in suspected cases, with long-term supervision of these patients at higher risk of developing skin cancer.

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