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- W2912335283 abstract "Although adverse reactions following contrast medium (CM) application occur regularly in routine, radiologists are in most cases not familiar with the clinical reaction patterns. Therefore, the documentation in the patients' records is often inadequate. Moreover, papers dealing with contrast medium induced side effects also reflect the poor knowledge in this field. For example, the unspecific term “adverse CM reaction” sometimes remains unclassified in the literature [ [1] Li X. Liu H. Zhao L. Liu J. Cai L. Liu L. et al. Clinical observation of adverse drug reactions to non-ionic iodinated contrast media in population with underlying diseases and risk factors. Br J Radiol. 2017; 90: 20160729 Crossref PubMed Scopus (35) Google Scholar ]. Furthermore, in the literature risks are mentioned which do not increase the risk for an adverse reaction, and vice versa [ [2] Boehm I. Morelli J. Nairz K. Silva Hasembank Keller P. Heverhagen J.T. Beta blockers and intravenous roentgen contrast materials: which risks do exist?. Eur J Intern Med. 2016; 35: e17-e18 Abstract Full Text Full Text PDF PubMed Scopus (1) Google Scholar , [3] Boehm I. Morelli J. Nairz K. Silva Hasembank Keller P. Heverhagen J.T. Risks of contrast media applied via the gastrointestinal route. Eur J Intern Med. 2017; 42: e19-e21 Abstract Full Text Full Text PDF Scopus (3) Google Scholar ]. Beside the description of clinical symptoms, the reactions are often classified. Due to the pathological nature, we can differentiate between type A and type B drug induced reactions [ [4] Rawlins M.D. Thompson J.W. Mechanisms of adverse drug reactions. in: Davies D.M. Ferner R.E. de Glanville H. Davies's Textbook of Adverse Drug Reactions. Oxford University Press, Oxford1991: 18-45 Google Scholar ]. Type A reactions are predictable, common, and related to the pharmacological properties of the drug. Type B reactions are hypersensitivity reactions (allergy and non-allergy) that are unpredictable, uncommon, and usually not related to the pharmacological properties of the drug. Adverse CM reactions are in more than 80% type A, and in less than 20% type B reactions [ [5] Ryu J. Lee H. Suh J. Yang M. Kang W. Kim E. Differences between drug-induced and contrast media-induced adverse reactions based on spontaneously reported adverse drug reactions. Plos One. 2015; 10e0142418 Crossref PubMed Scopus (8) Google Scholar ]." @default.
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- W2912335283 date "2019-04-01" @default.
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- W2912335283 title "Physiological reaction following contrast medium administration: What kind of reaction is this?" @default.
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- W2912335283 doi "https://doi.org/10.1016/j.ejim.2019.01.015" @default.
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