Progression of radiation dermatitis

The images show radiation dermatitis at 4 different stages of severity in lightly pigmented skin (A through D) and darkly pigmented skin (E through H). Radiation dermatitis ranges from faint erythema and hyperpigmentation (A, E) to definite erythema and hyperpigmentation with dry, fine desquamation (B, F) to early moist desquamation and patchy crusting (C, G) to moist desquamation, superficial ulceration, and peeling in sheets (D, H).