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lüll Severe skin reactions from interventional fluoroscopy: case report and review of the literature Wagner LK; McNeese MD; Marx MV; Siegel ELRadiology 1999[Dec]; 213 (3): 773-6Some patients with certain preexisting health conditions may be at elevated risk for unusually intense radiation-induced skin reactions and late tissue damage from high-dose interventional procedures. The authors present a case report of a patient with mixed connective tissue disease and non-insulin-dependent diabetes mellitus who developed an unusual complication after placement of a transjugular intrahepatic portosystemic shunt. On the basis of a review of the literature, the following experiences may help identify patients at increased risk: previous high-dose procedures, connective tissue disease, diabetes mellitus, and homozygosity for ataxia telangiectasia.|*Fluoroscopy[MESH]|*Radiology, Interventional[MESH]|Diabetes Mellitus, Type 2/complications[MESH]|Dose-Response Relationship, Radiation[MESH]|Humans[MESH]|Male[MESH]|Middle Aged[MESH]|Mixed Connective Tissue Disease/complications[MESH]|Portasystemic Shunt, Transjugular Intrahepatic[MESH]|Radiodermatitis/*etiology[MESH]|Risk Factors[MESH] |