摘要
螢光透視攝影（fluoroscopy）廣泛使用於許多檢查與治療。然而，螢光透視攝影引起的放射線皮膚炎（fluoroscopy-induced radiation dermatitis, FIRD）卻十分容易被臨床醫師忽略或誤診。FIRD典型的發生位置為背部，即為暴露於放射線的皮膚區域。患者接受攝影檢查的時間越長，短期內接受攝影的次數越多，或具有越多項風險因子，發生放射線皮膚炎的機率越高。放射線皮膚炎依據症狀產生時間可分為急性與慢性。急性放射線皮膚炎的症狀包含暫時性或持續性紅腫、乾脫屑、濕脫屑與潰瘍，而慢性放射線皮膚炎的主要症狀為色素脫失或沉澱、皮膚纖維化以及慢性潰瘍。良好的皮膚護理與外用類固醇能有效減少中重度急性放射線皮膚炎的發生；至於慢性放射線皮膚炎，合併使用pentoxifylline及維他命E或許對改善皮膚纖維化有幫助，而皮瓣轉植經常是修復慢性潰瘍唯一有效的方式。為了降低嚴重放射線皮膚炎的發生率，相關醫療人員需學會辨識FICRD並對具有風險的患者保持警覺。
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