Fluoroscopy-Induced Chronic Radiation Dermatitis (FICRD)- Skin injury from exposure to ionizing radation (X-rays) in form of fluoroscopy; ↑ incidence due to increased number and length of procedures involving fluoroscopy (including angioplasty, cardiac catheter ablation, stent placement, vascular embolization, etc.)
- Skin changes may appear within 7 – 14 days after exposure (acute) or may manifest several months to years after exposure (chronic)
- Certain threshold must be attained (via single or cumulative doses) to cause skin injury
- May initially present with erythema, pain, burning or pruritus; typically affected area turns atrophic with sclerosis, telangiectasias, discoloration or ulceration, ± non-melanoma skin cancer (NMSC) within sites
- Characteristic location left or right scapular or subscapular region, right midaxillary trunk, midback or right anterolateral chest with often geometric or angulated shape
- Histology: findings consistent with chronic radiation dermatitis
- Treatment: topical or IL corticosteroid, surgical excision for ulcerated/sclerotic lesions
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