Radiodermatitis

 DO

• Apply preventive measures to prevent radiodermatitis.
• Grade the skin abnormalities using the NCI/CTCAE table.

Grading of radiodermatitis (NCI/CTCAE)

Grade 0 - 

Grade 1 Mild erythema or dry desquamation. 

Grade 2 Moderate to fiery erythema, patches of wetting desquamation, mainly confined to skin folds, moderate oedema. 

Grade 3 Wetting desquamation not limited to skin folds, bleeding from minimal trauma and abrasion. 

Grade 4 Life-threatening consequences; Skin necrosis or ulceration of dermis; spontaneous bleeding of involved skin, skin graft indicated.

 DO

• Grade the degree of severity of radiodermatitis using the NCI/CTCAE table and tailor treatment accordingly.

 DO

• Evaluate the effect and side effects of the treatment instituted at the appropriate time, and adjust treatment as needed. Involve child and family in this process.