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
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.
引用
收藏
页码:1641 / 1643
页数:3
相关论文
共 21 条
  • [11] Lasser, Contrast media for urography., Clinical Urography, pp. 23-36, (1990)
  • [12] Lasser, Contrast media for urography, Campbell's Urology, 1, (1992)
  • [13] Witten, Hirsh, Hartman, Acute reactions to urographic contrast medium: incidence, clinical characteristics and relationship to history of hypersensitivity states., AJR, 119, (1973)
  • [14] Hobbs, Adverse reactions to intravenous contrast agents in Ontario, 1975-1979., J. Canad. Ass. Rad., 32, (1981)
  • [15] Davies, Delayed reactions to intravenous injections of urographic contrast media., Adv. X-Ray Contrast, 1, (1993)
  • [16] Lalli, Greenstreet, Reactions to contrast media: testing the CNS hypothesis., Radiology, 138, (1981)
  • [17] Goldberg, Systemic reactions to intravascular contrast media. A guide for the anesthesiologist., Anesthesiology, 60, (1984)
  • [18] Friedenberg, Excretory urography in the adult, Campbell's Urology, 1, (1992)
  • [19] Greenberger, Patterson, Kelly, Stevenson, Simon, Lieberman, Administration of radiographic contrast media in high-risk patients., Invest. Rad., 15, Supplement, (1980)
  • [20] Small, Satin, Palayew, Hyams, Prophylactic antihistamines in the management of radiographic contrast reactions., Clin. Allergy, 12, (1982)