A 48-year-old obese man1 with a history of hypertension, coronary artery disease, and status post–quadruple bypass presented with an 8-month history of painful ulceration on the right midback. The initial lesion was described as a 4-cm square area of eroded eczematous dermatitis, which later developed 2 areas of ulceration that worsened despite various treatments, including oral and intralesional corticosteroids, oral antibiotic agents (erythromycin and ciprofloxacin), dapsone, and a hydrocolloid dressing.
Lee J, Hoss D, Phillips TJ. Fluoroscopy-Induced Skin Necrosis. Arch Dermatol. 2003;139(2):140-142. doi:10.1001/archderm.139.2.140