Code to reproduce:
Workbook wb = new Workbook();
Worksheet worksheet = wb.Worksheets.Add();
PatternFill fill = new PatternFill(PatternType.DiagonalStripe, Colors.Red, Colors.Transparent);
worksheet.Cells[0, 0].SetFill(fill);
string outputFilePath = "Sample.pdf";
File.Delete(outputFilePath);
Telerik.Windows.Documents.Spreadsheet.FormatProviders.Pdf.PdfFormatProvider pdfFormatProvider =
new Telerik.Windows.Documents.Spreadsheet.FormatProviders.Pdf.PdfFormatProvider();
using (Stream output = File.OpenWrite(outputFilePath))
{
pdfFormatProvider.Export(wb, output, TimeSpan.FromSeconds(10));
}
Process.Start(new ProcessStartInfo() { FileName = outputFilePath, UseShellExecute = true });