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Ryan JL
The Journal of investigative dermatology. Date of publication 2012 Mar 1;volume 132(3 Pt 2):985-93.
1. J Invest Dermatol. 2012 Mar;132(3 Pt 2):985-93. doi: 10.1038/jid.2011.411. Epub 2012 Jan 5. Ionizing radiation: the good, the bad, and the ugly. Ryan JL(1). Author information: (1)Departments of Dermatology and Radiation Oncology, Center for Medical Countermeasures against Radiation, University of Rochester Medical Center, Rochester, New York 14642, USA. Julie_Ryan@urmc.rochester.edu Skin changes caused by ionizing radiation have been scientifically documented since 1902. Ionizing radiation is a widely accepted form of treatment for various types of cancer. Despite the technological advances, radiation skin injury remains a significant problem. This injury, often referred to as radiation dermatitis, occurs in about 95% of patients receiving radiation therapy for cancer, and ranges in severity from mild erythema to moist desquamation and ulceration. Ionizing radiation is not only a concern for cancer patients, but also a public health concern because of the potential for and reality of a nuclear and/or radiological event. Recently, the United States has increased efforts to develop medical countermeasures to protect against radiation toxicities from acts of bioterrorism, as well as cancer treatment. Management of radiation dermatitis would improve the therapeutic benefit of radiation therapy for cancer and potentially the mortality expected in any "dirty bomb" attack. Currently, there is no effective treatment to prevent or mitigate radiation skin injury. This review summarizes "the good, the bad, and the ugly" of current and evolving knowledge regarding mechanisms of and treatments for radiation skin injury. DOI: 10.1038/jid.2011.411 PMCID: PMC3779131 PMID: 22217743 [Indexed for MEDLINE]
Appears in following Topics:
Radiation-induced Cutaneous Damage - Introduction and Assessment
Radiation-Induced Cutaneous Damage - Treatment, Prevention, Patient Education
Patient Education - Radiation-induced cutaneous damage - Late Effects
Patient Education - Radiation-induced cutaneous damage - Acute Effects