Skip to main content

Advertisement

Log in

Reversible Localized Alopecia After Angioplasty of Basilar Artery Stenosis in a Diabetic Patient: a Case Report

  • Medicine
  • Published:
SN Comprehensive Clinical Medicine Aims and scope Submit manuscript

Abstract

Radiation-induced alopecia is very rare in neurointerventional surgery due to limited radiation dose. Furthermore, no case referred to the reversible hair loss after angioplasty rather than endovascular embolization. A 54-year-old man with diabetes manifested a sign of alopecia after an endovascular stenting for symptomatic basilar artery stenosis. The topography of hair loss patch was in a shape of a rectangle, and it recovered literally in 6 months, without any treatment. The reduction of exposure of patients to radiation during fluoroscopically directed interventional procedures should be performed as possible. Speculatively, metabolic abnormalities such as diabetes and obesity may be considered as an underlying risk that induces skin manifestation in a process of exposure to radiation.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Tosti A, Piraccini BM, Alagna G. Temporary hair loss simulating alopecia areata after endovascular surgery of cerebral arteriovenous malformations: a report of 3 cases [J]. Arch Dermatol. 1999;135(12):1555–6.

    Article  CAS  Google Scholar 

  2. Wen CS, Lin SM, Chen Y, Chen JC, Wang YH, Tseng SH. Radiation-induced temporary alopecia after embolization of cerebral arteriovenous malformations [J]. Clin Neurol Neurosurg. 2003;105(3):215–7.

    Article  Google Scholar 

  3. Marti N, Lopez V, Pereda C, Martin JM, Montesinos E, Jorda E. Radiation-induced temporary alopecia after embolization of cerebral aneurysms [J]. Dermatol Online J. 2008;14(7):19.

    PubMed  Google Scholar 

  4. Foroozan M, Bracard S, Schmutz JL. Alopecia after cerebral endovascular procedure [J]. J Eur Acad Dermatol Venereol. 2009;23(5):573–4. https://doi.org/10.1111/j.1468-3083.2008.02957.x.

    Article  CAS  PubMed  Google Scholar 

  5. Vano E, Fernandez JM, Sanchez RM, Martinez D, Ibor LL, Gil A, et al. Patient radiation dose management in the follow-up of potential skin injuries in neuroradiology [J]. AJNR Am J Neuroradiol. 2013;34(2):277–82. https://doi.org/10.3174/ajnr.A3211.

    Article  CAS  PubMed  Google Scholar 

  6. Derdeyn CP, Chimowitz MI, Lynn MJ, Fiorella D, Turan TN, Janis LS, et al. Aggressive medical treatment with or without stenting in high-risk patients with intracranial artery stenosis (SAMMPRIS): the final results of a randomised trial [J]. Lancet. 2014;383(9914):333–41. https://doi.org/10.1016/S0140-6736(13)62038-3.

    Article  PubMed  Google Scholar 

  7. Jiang WJ, Yu W, Du B, et al. Outcome of patients with >/=70% symptomatic intracranial stenosis after wingspan stenting [J]. Stroke. 2011;42(7):1971–5. https://doi.org/10.1161/STROKEAHA.110.595926.

    Article  PubMed  Google Scholar 

  8. Yu SC, Leung TW, Lee KT, et al. Angioplasty and stenting of intracranial atherosclerosis with the wingspan system: 1-year clinical and radiological outcome in a single Asian center [J]. J Neurointerv Surg. 2014;6(2):96–102. https://doi.org/10.1136/neurintsurg-2012-010608.

    Article  PubMed  Google Scholar 

  9. Hussain M, Datta N, Cheng Z, et al. Spanning from the West to East: an updated review on endovascular treatment of intracranial atherosclerotic disease [J]. Aging Dis. 2017;8(2):196–202. https://doi.org/10.14336/AD.2016.0807.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Lawenda BD, Gagne HM, Gierga DP, Niemierko A, Wong WM, Tarbell NJ, et al. Permanent alopecia after cranial irradiation: dose-response relationship [J]. Int J Radiat Oncol Biol Phys. 2004;60(3):879–87. https://doi.org/10.1016/j.ijrobp.2004.04.031.

    Article  PubMed  Google Scholar 

  11. Gonzalez-Saldivar G, Rodriguez-Gutierrez R, Ocampo-Candiani J, et al. Skin manifestations of insulin resistance: from a biochemical stance to a clinical diagnosis and management [J]. Dermatol Ther (Heidelb). 2017;7(1):37–51. https://doi.org/10.1007/s13555-016-0160-3.

    Article  Google Scholar 

  12. Stefanadi EC, Dimitrakakis G, Antoniou CK, Challoumas D, Punjabi N, Dimitrakaki IA, et al. Metabolic syndrome and the skin: a more than superficial association. Reviewing the association between skin diseases and metabolic syndrome and a clinical decision algorithm for high risk patients [J]. Diabetol Metab Syndr. 2018;10:9. https://doi.org/10.1186/s13098-018-0311-z.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Valentin J. Avoidance of radiation injuries from medical interventional procedures [J]. Ann ICRP. 2000;30(2):7–67. https://doi.org/10.1016/S0146-6453(01)00004-5.

    Article  CAS  PubMed  Google Scholar 

Download references

Availability of Data and Materials

The datasets supporting the conclusions of this article are included within the article and its additional files.

Author information

Authors and Affiliations

Authors

Contributions

Peng Zhang analyzed and interpreted the case, collected the clinical data, and drafted the manuscript. Wen-Hua Fu participated in the design of the case report. Both authors read and approved the final manuscript.

Corresponding author

Correspondence to Peng Zhang.

Ethics declarations

Conflict of Interest

All authors declare that they have no competing interests.

Ethics Approval and Consent to Participate

This case report involves a patient. The case report complies with the Helsinki Declaration, and approval was obtained from the ethics committee of PLA Joint Logistics Support Force No.988 Hospital.

Consent for Publication

Written informed consent was obtained from the patient for publication of this case report and accompanying images. A copy of the written consent is available for review by the editor of this journal.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

This article is part of the Topical Collection on Medicine

Electronic Supplementary Material

ESM 1

(DOC 37 kb)

ESM 2

(JPG 1090 kb)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Zhang, P., Fu, WH. Reversible Localized Alopecia After Angioplasty of Basilar Artery Stenosis in a Diabetic Patient: a Case Report. SN Compr. Clin. Med. 2, 992–994 (2020). https://doi.org/10.1007/s42399-020-00354-5

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s42399-020-00354-5

Keywords

Navigation