Lymphology Association of North America (LANA) Practice Exam

Which of the following best describes Grade 2 skin changes during/after radiation?

1. Telangiectasia with fibrosis

2. Radiation fibrosis

3. Brisk erythema with moist desquamation

4. Faint or dull erythema with dry desquamation

The correct answer is: Brisk erythema with moist desquamation

The description of Grade 2 skin changes during or after radiation specifically includes "brisk erythema with moist desquamation." This level of skin change is characterized by more intense and visible reactions to radiation, demonstrating a greater degree of skin injury than the lower-grade reactions. Brisk erythema indicates a pronounced reddening of the skin, reflecting increased blood flow and inflammation as a response to radiation exposure. The presence of moist desquamation signifies that not only is the skin inflamed, but it has also undergone enough damage to result in peeling or sloughing of the outer skin layer, which can lead to leakage of fluid and potential for infection. This combination of symptoms is significant in identifying the severity of skin reactions following radiation treatment and is an important aspect of patient management during oncological care. Understanding these skin changes assists healthcare providers in monitoring and reducing complications associated with radiation therapy.