To the Editor.—
I was delighted to read in the Archives the article by Madison1 on basal cell epitheliomas after repeated fluoroscopic examinations of the chest.In 1967, I had published an article on the same subject. I described three patients who had multiple basal cell carcinomas on the back and chest years after many roentgenographic and fluoroscopic examinations of the lungs had been performed in patients who had been treated for pulmonary tuberculosis.2 Since the publication of my article, I have seen at least five such additional cases.The important finding is the occurrence of basal cell carcinomas after many diagnostic roentgenographic and fluoroscopic examinations despite the absence of clinical evidence of chronic radiodermatitis.Ulcerations of Lucio's phenomenon are seen here in nodular lepromatous leprosy.
Zeligman I. Basal Cell Epitheliomas After Repeated Fluoroscopic Examinations of the Chest. Arch Dermatol. 1980;116(10):1100-1101. doi:10.1001/archderm.1980.01640340010004