ABSTRACT
Background: The etiology of radiation recall phenomenon is not well understood. Adriamycin - based cytotoxics are frequently being used as adjuvant chemotherapy in breast cancer treatment in our environment. The phenomenon also occurs in association with radiation. Method: In our search of African literature; there seems to be a paucity of radiation - recall dermatitis and pneumonitis among Africans. We describe the case of a patient with breast cancer that developed radiation recall dermatitis and pneumonitis; secondary to the administration of adriamycin - based cytotoxic chemotherapy. Conclusion: This phenomenon should be considered as a differenial diagnosis of dermatitis and pneumonitis in patients receiving anthracycline - based cytotoxics