DELAYED-HYPERSENSITIVITY REACTION AFTER INFUSION OF NONIONIC INTRAVENOUS CONTRAST MATERIAL FOR AN EXCRETORY UROGRAM - A CASE-REPORT AND REVIEW OF THE LITERATURE

被引：7
作者：
STOVSKY, MD [1 ]
SEFTEL, AD [1 ]
RESNICK, MI [1 ]
机构：
[1] CASE WESTERN RESERVE UNIV, DEPT UROL, CLEVELAND, OH 44106 USA
来源：
JOURNAL OF UROLOGY | 1995年 / 153卷 / 05期
关键词：
CONTRAST MEDIA; CONTRAST SENSITIVITY; URTICARIA; SKIN; IOHEXOL;
D O I：
10.1016/S0022-5347(01)67487-1
中图分类号：
R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];
学科分类号：
1002 ; 100201 ;
摘要：
Delayed adverse reactions to ionic and nonionic intravenous contrast media have been reported previously. We report a case in which delayed hypersensitivity to iohexol, a nonionic intravenous contrast agent commonly used in excretory urography, resulted in a bi-phasic allergic response. This reaction consisted of a mild post-infusion episode of urticaria, which preceded and was clinically distinct from a moderately severe dermatological eruption. The episode of urticaria was self-limited. The dermatological reaction was treated successfully with antihistamine therapy.
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页码：1641 / 1643
页数：3
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  • [1] Yamaguchi, Takanashi, Kanauchi, Hoshi, Kubota, A retrospective survey of delayed adverse reactions to ionic and nonionic contrast media., Nippon Acta Rad., 52, (1992)
  • [2] Choyke, Miller, Lotze, Whiteis, Ebbitt, Rosenberg, Delayed reactions to contrast media after interleukin-2 immunotherapy., Radiology, 183, (1992)
  • [3] Higashi, Katayama, The delayed adverse reactions of low osmolar contrast media., Nippon Acta Rad., 50, (1990)
  • [4] Yoshikawa, Late adverse reactions to nonionic contrast media., Radiology, 183, (1992)
  • [5] McCullough, Davies, Richardson, A large trial of intravenous Conray 325 and Niopam 300 to assess immediate and delayed reactions., Brit. J. Rad., 62, (1989)
  • [6] Lasser, Berry, Talner, Santini, Lang, Gerber, Stolberg, Pretreatment with corticosteroids to alleviate reactions to intravenous contrast material., New Engl. J. Med., 317, (1987)
  • [7] Akiyama, Iijima, Fujisawa, Clinical analysis of drug eruption due to iohexol (Omnipaque)., Jap. J. Dermatol., 100, (1990)
  • [8] Asano, Ikeda, Ichikawa, Okabe, Kawamura, Maeda, Drug eruption due to iohexol (Omnipaque)., Jap. J. Clin. Rad., 35, (1990)
  • [9] Kaftori, Abraham, Gilhar, Toxic epidermal necrolysis after excretory pyelography. (Immunologic-mediated contrast medium reaction.), Int. J. Dermatol., 27, (1988)
  • [10] Goodfellow, Holdstock, Brunton, Bamforth, Fatal acute vasculitis after high-dose urography with iohexol., Brit. J. Rad., 59, (1986)
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