What causes moist desquamation?

Moist desquamation develops after the administration of the doses of radiation required to eradicate skin cancer. The skin reaction usually reaches a peak 3 to 6 weeks after the start of treatment and resolves spontaneously over approximately 6 weeks.

What is moist desquamation in breast radiation?

Moist desquamation occurs in approximately 36% of patients who receive radiation therapy and is associated with severe opioid-resistant pain and discomfort. Moist desquamation is typically at its worst within 1 to 3 weeks after treatment conclusion and resolves over a period of 6 weeks.

How do you manage moist desquamation?

Moist desquamation is treated by using an enzymatic wound cleanser and/or diluted 0.5 % chlorhexidine solution to reduce bacterial burden. The wound is then covered with a hydrophilic silver ion contain dressing and covered with a secondary non-stick silicone dressing.

What does radiation rash look like?

open or bleeding skin. a rash that gets worse after using creams or ointments. blisters, bright red skin, or crusts on the skin. signs of infection, such as pus or tenderness near broken skin.

How long is desquamation?

You might be surprised to know that most of the dust in your home is actually made up of dead skin cells. The entire desquamation process, from cell birth to sloughing away, takes approximately 14 to 28 days.

What is dry desquamation?

Dry desquamation can occur at doses above 20 Gy and is characterized by peeling of dry, scaly skin and may not particularly add to patient symptomatology. Moist desquamation, however, is painful and a result of destruction and sloughing of dermal layers.

What is the best cream to use after radiotherapy?

Moisturize: At the beginning your radiation treatment, before you have any side effects, moisturize the skin after your daily treatment with an ointment such as A&D, Eucerin, Aquaphor, Miaderm, Biafene, or Radiacare.

How long does it take for radiation burns to go away?

Radiation burns, also known as X-ray dermatitis or radiation dermatitis, may start showing up about two weeks into external radiation treatment. These burns are common, but they tend to be mild and usually resolve within two months after radiation treatment ends.

Can I use Neosporin on radiation burns?

This medication is used as a moisturizer to treat or prevent dry, rough, scaly, itchy skin and minor skin irritations (e.g., diaper rash, skin burns from radiation therapy).

What does the skin need to perform desquamation?

Desquamation is the natural process in which skin cells are created, sloughed away, and replaced. The desquamation process happens in the outermost layer of the skin called the epidermis. The epidermis itself has four unique layers. Each of these layers plays a role in desquamation.

When to take a picture of moist desquamation?

A, Confluent moist desquamation in a patient whose treated volume encompassed the entire vulva. Photograph was taken 9 days after 47.6 Gy chemoradiation (5-fluorouracil/cisplatin regimen similar to GOG Protocol 101) when tiny islands of regenerating squamous epithelium are just beginning to appear.

What are the side effects of dry desquamation?

Acute skin reactions include erythema, edema, pigmentation, dry/moist desquamation, alopecia, and, in severe cases, ulcer. Only one or any combination of these symptoms may occur in the individual patient. Skin care for erythema/dry desquamation is identical to preventive measures (see below).

When does a tumoricidal dose of radiation cause moist desquamation?

A tumoricidal dose of radiation generally produces moist desquamation of the irradiated skin by the end of, and shortly after, RT. The irradiated skin area should be protected from heat, cold, sunlight, friction, disinfectants, and other sources of irritation to avoid additional tissue injury.

When to apply silver sulfadiazine for moist desquamation?

During RT, the daily application of a bland emollient is recommended. When moist desquamation occurs, the area should be kept clean to prevent secondary infection and may require the application of a burn-type dressing (e.g., silver sulfadiazine cream) for at least 2 to 3 weeks.