Contrast media and cutaneous reactions. Part 2: Delayed hypersensitivity reactions to iodinated contrast media
| العنوان: | Contrast media and cutaneous reactions. Part 2: Delayed hypersensitivity reactions to iodinated contrast media |
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| المؤلفون: | H. Fleming, S. Walsh, F. Tasker, Daniel Creamer, G. McNeill |
| المصدر: | Clinical and Experimental Dermatology. 44:844-860 |
| بيانات النشر: | Oxford University Press (OUP), 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Contrast Media, Dermatology, Intertriginous, Disease, Skin Diseases, 030207 dermatology & venereal diseases, 03 medical and health sciences, 0302 clinical medicine, medicine, Humans, Eosinophilia, Hypersensitivity, Delayed, Adverse effect, Aged, business.industry, Exanthema, Middle Aged, Acute generalized exanthematous pustulosis, medicine.disease, Toxic epidermal necrolysis, Acute Generalized Exanthematous Pustulosis, Delayed hypersensitivity, Stevens-Johnson Syndrome, 030220 oncology & carcinogenesis, Female, medicine.symptom, business, Vasculitis, Iodine |
| الوصف: | Contrast media (CM) are an indispensable part of modern medical imaging. Adverse reactions to CM are uncommon, but frequently involve cutaneous symptoms. This two-part article reviews adverse events secondary to CM that are relevant to the practising dermatologist. Part 1 covers the classification of CM, immediate hypersensitivity reactions to CM and the newly described condition, gadolinium deposition disease. Given that there has only been two case reports to our knowledge of a delayed adverse reaction to gadolinium-based CM, this second part will focus on cutaneous delayed reactions caused by iodinated CM (ICM). Delayed hypersensitivity reactions to ICM commonly present as maculopapular exanthems, but more rarely, they can manifest as fixed drug eruptions, acute generalized exanthematous pustulosis, drug-related eosinophilia and systemic symptoms, Stevens-Johnson syndrome/toxic epidermal necrolysis, symmetrical drug-related intertriginous and flexural exanthema, graft-versus-host disease, vasculitis and iododerma. Delayed reactions to ICM may be underdiagnosed, as cutaneous symptoms may be attributed to oral medications, particularly if patients are on multiple drugs. |
| تدمد: | 1365-2230 0307-6938 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::986e747ffedf220b8edf324da9fd3f7dTest https://doi.org/10.1111/ced.13991Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....986e747ffedf220b8edf324da9fd3f7d |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 13652230 03076938 |
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