Indian Journal of Pathology and Microbiology
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Year : 2018  |  Volume : 61  |  Issue : 3  |  Page : 393-396

Fluoroscopy-induced chronic radiation dermatitis masquerading as morphea: A diagnostic pitfall

1 Delhi Dermpath Laboratory, Delhi Dermatology Group, New Delhi, India
2 Sundharam's Dermatology and Pediatric Centre, New Delhi, India

Correspondence Address:
Meenakshi Batrani
10, Aradhana Enclave, RK Puram, Sector 13, New Delhi - 110 066
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/IJPM.IJPM_566_17

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Chronic radiodermatitis is a rare complication of fluoroscopy-guided procedures. The diagnosis of fluoroscopy-induced chronic radiation dermatitis is challenging because of its rarity, late insidious onset, and close clinicopathological resemblance to morphea. We report two cases of fluoroscopy-induced chronic radiodermatitis following cardiac procedures to highlight the clinicopathological features. The diagnosis relies on recognizing the characteristic clinical presentation of well-demarcated, rectangular- or square-shaped indurated plaque with depigmentation, telangiectasia, and ulceration located on the scapula, back, or axilla; supported by the histological identification of radiation fibroblasts in a sclerotic dermis.

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