Theoretic Considerations and Clinical Use of Grenz Rays in Dermatology

Kalz, Frederick

doi:10.1001/archderm.1941.01490210015003

Cited by 30 publications

(14 citation statements)

References 11 publications

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“…Kalz [54] found that skin sensitivity for acute reactions, from most to least sensitive, is as follows: anterior aspect of the neck, antecubital, and popliteal spaces; flexor surfaces of the extremities, chest, and abdomen; the face; the back and extensor surfaces of the extremities; the nape of the neck; the scalp; and the palms and soles. Hair follicles of the scalp appear to be more radiosensitive than those in other parts of the body [41].…”

Section: Radiation Sensitivitymentioning

confidence: 99%

Skin Injuries from Fluoroscopically Guided Procedures

Koenig

Wolff²,

Mettler

et al. 2001

American Journal of Roentgenology

432

225

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Section: Radiation Sensitivitymentioning

confidence: 99%

Skin Injuries from Fluoroscopically Guided Procedures

Koenig

Wolff²,

Mettler

et al. 2001

American Journal of Roentgenology

432

225

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“…Superinfections often are associated with inflammatory tissue reactions, and the basal cell layer is destroyed [1]. Healing leaves the skin scarred, atrophic, and functionally impaired [2]. Moist care keeps the irradiated skin supple, pruritus is minimized, and patients do not scratch.…”

Section: Discussionmentioning

confidence: 99%

“…Except for patients with far advanced stages of disease and in very sensitive skin areas, state-of-the-art high-voltage therapy does not cause any major skin irritations. Severe skin lesions are confined to highly sensitive areas [2].The patient's individual sensitivity is a major determinant. In keeping with current habits of daily body care, patients increasingly request adequate skin care during radiotherapy, i.e., they request to be allowed to wash the irradiated skin areas [3].…”

Section: Introductionmentioning

confidence: 99%

Improvement of Skin Care during Radiotherapy

Schratter-Sehn

Brinda²,

Kahrer³

et al. 2001

Oncol Res Treat

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Background: State-of-the-art radiotherapy, new insights into pharmacology and novel operating techniques re-quire patient-oriented adaptation of care. Patients and Method: At the Radio-oncology Department of the Kaiser Franz Josef Spital, Vienna, a new skin care concept for patients undergoing radiotherapy was introduced in March 1999. This concept has subsequently been applied in all cases regardless of the diagnosis prompting referral (79 ENT, 305 breast, 134 prostate, 89 colorectal cancer and 751 other patients). Radiotherapy consisted of photon and/or electron radiation on the linear accelerator. The energy ranges were between 6 and 15 MV for photon therapy and between 6 and 12 MeV for electron radiation. Patients received an average total radiation dose of 50–66 Gy at single fractional doses of 1.8–2 Gy 5 times a week. Powdering of the skin was replaced by a moist skin care program. Patients were allowed to take cool whole-body showers without soap, including the irradiated skin areas, 3 times a week. Results: With the new skin care program dryness of the skin and resultant allergic skin reactions became less common. Broken skin an epitheliolysis were clearly reduced and superinfections were prevented. Conclusion: Moist care of irradiated skin areas during radiotherapy thus improved radiation tolerance and patient acceptance.

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“…Different areas of skin have different sensitivities to radiation. 21 Therefore, the effects of the same dose of radiation will vary according to where the radiation is given. Care needs to be particularly taken in areas of thinner skin and extremities.…”

Section: Specific Areas Injuredmentioning

confidence: 99%

“…The areas of the body ranked from most to least sensitive are: anterior neck, antecubital and popliteal spaces, flexor surfaces of extremities, chest and abdomen, face, back, extensor surfaces, nape of neck, scalp, palms and soles. 21 Hair follicles of the scalp are more sensitive than follicles in other areas, but the skin itself appears to be more resistant to injury. 16,20 Technical factors.…”

Section: Specific Areas Injuredmentioning

confidence: 99%