Synonym(s)
Radium ulcer
DefinitionThis section has been translated automatically.
Deep tissue necrosis after X-ray exposure. An acute 3rd degree x-ray ulcer due to acute toxic radiation damage with primary necrosis is distinguished from a chronic x-ray ulcer that develops due to minor trauma or insufficient oxygen supply to the tissue in the atrophic center of an x-ray orm.
Clinical featuresThis section has been translated automatically.
Chronic x-ray ulcer: Sharply limited ulceration in the centre of an x-ray orm with a yellow, fatty, firmly adherent necrotic coating = x-ray fat. Poor healing tendency.
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External therapyThis section has been translated automatically.
Stage-specific ulcer therapy, see below wound treatment. Conservative therapy is often lengthy or frustrating.
Internal therapyThis section has been translated automatically.
Analgesic drugs like acetylsalicylic acid (e.g. ASS) 3 times/day 500 mg or more effective tramadol (e.g. Tramal Trp.) 20-40 Trp./day. Non-steroidal anti-inflammatory drugs like ibuprofen (e.g. Ibuprofen Stada) 200-400 mg/day may be helpful.
Operative therapieThis section has been translated automatically.
Ultima ratio is the excision of the ulcerated area with a tension-free or plastic wound closure.
LiteratureThis section has been translated automatically.
- Hagedorn M et al (2003) Long term results of total skin electron beam therapy (TSEBT) in the treatment of mycosis fungoides. dermatologist 54: 256-264
- Helmbold P et al (2002) Merkel cell carcinoma. dermatologist 53: 652-658
- Panizzion R (1993) Dermato X-ray therapy. Present state. Dermatologist 44: 749-760
- Yano K et al (2002) Radiation-induced skin ulcer, cerebral meningioma, and skin cancer following radiation and radium treatment for actinomycosis. Plast reconstr. surgery 109: 2157-2158
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Incoming links (6)
Occupational skin disease according to BK 5101; Occupational skin disease according to BK 5101; Radiation damage; Radium ulcer; X-ray carcinoma; X-ray surface irradiation;Outgoing links (7)
Acetylsalicylic acid; Acute radiodermatitis; Excision; Ibuprofen; Non steroidal anti-inflammatory drugs; Radiodermatitis chronic; Wound treatment;Disclaimer
Please ask your physician for a reliable diagnosis. This website is only meant as a reference.
Prof. Dr. med. Peter Altmeyer