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Journal of the Korean Academy of Rehabilitation Medicine 2001;25(4):729-733.
Skin Lesion after Repeated Fluoroscopically Guided Procedures: A Case Report.
Kim, Hee Sang , Ahn, Kyung Hoi , Yun, Dong Hwan , Oh, Jin Ju , Jeong, Yong Seol , Kim, Dong Hwan
Department of Rehabilitation Medicine, Kyunghee University College of Medicine.
반복적인 투시조영 후에 발생한 피부병변 ⁣증례 보고⁣
김희상, 안경회, 윤동환, 오진주, 정용설, 김동환
경희대학교 의과대학 재활의학교실

The radiation exposure has multiple complication of various organs. Especially, the Food and Drug Administration has recently issued a bulletin warning of the risks of acute skin injury occurring during fluoroscopically guided procedures. Physicians need information about typical radiation doses during fluoroscopically guided various procedures and estimates of entrance skin dose must be monitored using thermoluminescent dosimetry, film badge dosimetry, pocket dosimetry and on-line computer system. Current National Council on Radiation Protection and Measurements recommended are that yearly total body dose should not exceed 50 mSv (5 rem) and that life time dose measured in millisieverts should not exceed one's age in years multiplied by 10.

Types of skin injury are erythema, alopecia, dry desquamation, invasive fibrosis, dermal atropy, telangiectasia, moist desquamation, skin necrosis and secondary ulcer. Also, long-term exposure caused skin cancer.

We experienced personally pigmentation on the finger nail and the hand after repeated fluoroscopically guided procedures. Thus, we report this case for giving warning to the physiatrist by the complications due to frequent exposure during procedures.

Key Words: Fluoroscopy, Radiation exposure, Skin lesion, Pigmentation


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