Beta burns following radionuclide synovectomy

Radionuclide synovectomy (RSV) is a form of minimally invasive treatment of persistent joint inflammation. The procedure has a high safety profile and the occurrence of serious adverse events, such as full-thickness skin radiation necrosis, is rare. Less severe radiation events, while more common, are usually benign and self-limiting.
We present two cases of low-grade beta burns that developed after RSV, despite proper injection technique. The potential long-term risk of such exposure is also discussed, with reference to historical radiation incidents. While low-grade beta burns after RSV usually pose little danger to the patient, any clinician involved in radionuclide treatment of arthritis should be aware of their existence and management

REFERENCES (14)

Chojnowski MM, Felis-Giemza A, Kobylecka M. Radionuclide synovectomy – essentials for rheumatologists. Reumatologia 2016; 54: 108-116.

Google Scholar

Oztürk H, Oztemür Z, Bulut O. Treatment of skin necrosis after radiation synovectomy with yttrium-90: a case report. Rheumatol Int 2008; 28: 1067-1068.

Google Scholar

García-Colmenero L, Martin-Ezquerra G, Monfort J, et al. Persistent cutaneous ulcers after Yttrium-90 synovectomy, an unusual complication: two case reports and a review of the literature. Int Wound J 2017; 14: 508-511.

Google Scholar

Kampen WU, Matis E, Czech N, et al. Serious complications after radiosynoviorthesis. Survey on frequency and treatment modalities. Nuklearmedizin 2006; 45: 262-268.

Google Scholar

Ahmada I, Nisar H. Dosimetry perspectives in radiation synovectomy. Physica Medica 2018; 47: 64-72.

Google Scholar

Chojnowski MM, Kobylecka M, Płazińska MT, et al. Popliteal cyst after yttrium-90 radiosynovectomy-usefulness of delayed PET/CT imaging. Rheumatology (Oxford) 2014; 53: 1983.

Google Scholar

Liepe K. Radiosynovectomy in the Therapeutic Management of Arthritis. World J Nucl Med 2015; 14: 10-15.

Google Scholar

Borab Z, Mirmanesh MD, Gantz M, et al. Systematic review of hyperbaric oxygen therapy for the treatment of radiation-.

Google Scholar

induced skin necrosis. J Plast Reconstr Aesthet Surg 2017; 70: 529-538.

Google Scholar

10.

Vanhavere F, Huyskens D, Struelens L. Peripheral neutron and gamma doses in radiotherapy with an 18 MV linear accelerator. Radiat Prot Dosimetry 2004; 110: 607-612.

Google Scholar

11.

Conard RA, Meyer LM, Sutow WW, et al. Medical Survey of the People of Rongelap and Utirik Islands Nine and Ten Years After Exposure to Fallout Radiation. Upton, N.Y.: Brookhaven National Laboratory 1965.

Google Scholar

12.

Conard RA, Sutow WW, Lowrey A, et al. Medical survey of the people of Rongelap and Utirik islands thirteen, fourteen, and fifteen years after exposure to fallout radiation. Upton, N.Y.: Brookhaven National Laboratory 1970.

Google Scholar

13.

United States. Congress. Joint Committee on Atomic Energy. Biological and environmental effects of nuclear war: Hearing before the Special Subcommittee on Radiation of the Joint Committee on Atomic Energy, Congress of the United States, Eighty-sixth Congress, first session. Washington 1959.

Google Scholar

14.

Conard RA, MacDonald HE, Meyer LM, et al. Medical survey of Rongelap people seven years after exposure to fallout. Upton, N.Y.: Brookhaven National Laboratory 1962.

Google Scholar

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