Sharon R. Hymes, MD, Eric A. Strom, MD, Caroline Fife, MD

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Presentation transcript:

Radiation dermatitis: Clinical presentation, pathophysiology, and treatment 2006 Sharon R. Hymes, MD, Eric A. Strom, MD, Caroline Fife, MD Journal of the American Academy of Dermatology Volume 54, Issue 1, Pages 28-46 (January 2006) DOI: 10.1016/j.jaad.2005.08.054 Copyright © 2006 American Academy of Dermatology, Inc. Terms and Conditions

Fig 1 Grade 1 dermatitis after 50 Gy, with increased erythema in inframammary fold and axilla. There is also increased erythema at junction between electron beam (green line) and photon fields (red line). Journal of the American Academy of Dermatology 2006 54, 28-46DOI: (10.1016/j.jaad.2005.08.054) Copyright © 2006 American Academy of Dermatology, Inc. Terms and Conditions

Fig 2 Grade 2 dermatitis with persistent erythema and desquamation. Journal of the American Academy of Dermatology 2006 54, 28-46DOI: (10.1016/j.jaad.2005.08.054) Copyright © 2006 American Academy of Dermatology, Inc. Terms and Conditions

Fig 3 Grade 2 dermatitis with moist desquamation in inframammary crease. Journal of the American Academy of Dermatology 2006 54, 28-46DOI: (10.1016/j.jaad.2005.08.054) Copyright © 2006 American Academy of Dermatology, Inc. Terms and Conditions

Fig 4 Superinfected radiation dermatitis. Journal of the American Academy of Dermatology 2006 54, 28-46DOI: (10.1016/j.jaad.2005.08.054) Copyright © 2006 American Academy of Dermatology, Inc. Terms and Conditions

Fig 5 Grade 3 radiation dermatitis with confluent desquamation. Journal of the American Academy of Dermatology 2006 54, 28-46DOI: (10.1016/j.jaad.2005.08.054) Copyright © 2006 American Academy of Dermatology, Inc. Terms and Conditions

Fig 6 Consequential late radiation dermatitis with chronic telangiectasia, ulcer, and exposed bone. Journal of the American Academy of Dermatology 2006 54, 28-46DOI: (10.1016/j.jaad.2005.08.054) Copyright © 2006 American Academy of Dermatology, Inc. Terms and Conditions

Fig 7 Dyspigmentation after radiation therapy. Journal of the American Academy of Dermatology 2006 54, 28-46DOI: (10.1016/j.jaad.2005.08.054) Copyright © 2006 American Academy of Dermatology, Inc. Terms and Conditions

Fig 8 Telangiectasia after electron boost dosing. Journal of the American Academy of Dermatology 2006 54, 28-46DOI: (10.1016/j.jaad.2005.08.054) Copyright © 2006 American Academy of Dermatology, Inc. Terms and Conditions

Fig 9 True late radiation-induced changes with protruding osteophytes occurring years after therapy. Journal of the American Academy of Dermatology 2006 54, 28-46DOI: (10.1016/j.jaad.2005.08.054) Copyright © 2006 American Academy of Dermatology, Inc. Terms and Conditions

Fig 10 Hereditary nevoid basal cell syndrome after radiation therapy. Journal of the American Academy of Dermatology 2006 54, 28-46DOI: (10.1016/j.jaad.2005.08.054) Copyright © 2006 American Academy of Dermatology, Inc. Terms and Conditions

Fig 11 Contact dermatitis from pens used to paint fiducials (field lines). Journal of the American Academy of Dermatology 2006 54, 28-46DOI: (10.1016/j.jaad.2005.08.054) Copyright © 2006 American Academy of Dermatology, Inc. Terms and Conditions

Fig 12 Dermatitis in locus minoris resistentiae after radiation. Journal of the American Academy of Dermatology 2006 54, 28-46DOI: (10.1016/j.jaad.2005.08.054) Copyright © 2006 American Academy of Dermatology, Inc. Terms and Conditions

Fig 13 Urticaria during radiation therapy. Journal of the American Academy of Dermatology 2006 54, 28-46DOI: (10.1016/j.jaad.2005.08.054) Copyright © 2006 American Academy of Dermatology, Inc. Terms and Conditions