When does RT dermatitis shows up?? It starts after 13-14 fraction of completion of RT treatment. Aggravates along the course of RT. Acute reaction is at its peak during 4 th to 5 th week of treatment. And settles down in 2-3 months.
Make your patient aware before starting RT - Skin Care
Skin care during RT To wear loose, soft cotton clothing (preferred), avoid wearing undergarments / inner wears . Avoid sweat, excessive sun exposure, heat or even dry weather. Fan >> AC Hydrate yourself and your skin. Avoid shaving – trimming allowed. Wash skin from time to time – do not RUB. Use gentle / baby soaps - chemical and fragrance free. Moisturize twice. And ALWAYS AFTER RT, do not apply cream before RT treatment. – avoid in broken area of skin.
Skin care Oil based creams – reduce incidence of dry desquamation and pain. High grade radiation dermatitis is reduced in steroid group when compared to petroleum based products. Hyluronate based cream – reduces incidence of late skin toxicities and results in better recovery of high grade skin toxicity.