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December 1930


Arch Derm Syphilol. 1930;22(6):1112-1132. doi:10.1001/archderm.1930.01440180158014

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Radiodermatitis. Presented by Dr. Howard Fox.  H. R. A., a dentist, aged 53, had suffered from paronychia of the right middle finger, five years previously. He had treated this with his dental roentgen-ray apparatus. This treatment was followed by an acute, radiodermatitis which healed in two months. Later, the nail fell off, and the finger had since shown marked dystrophic changes. On the dorsal aspect of the second and third phalanges were telangiectases and keratoses. There was no ulceration or other evidence of cancer. The patient was presented for therapeutic suggestions.

DISCUSSION  Dr. E. F. Traub: At the present time I favor doing whatever surgical intervention seems necessary, before the process has any further chance to develop. A skin flap might be attempted with every chance for success. A number of surgeons have done excellent repair work on the hands, the final result being an absolutely useful member with little deformity.Dr. Binford Throne: I agree with Dr. Traub's suggestion. I have seen some of Dr. Semken's patients, one of them a woman who had done a great deal of work with roentgen rays, and she has a perfectly useful hand. That operation was done about three years previously.

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