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• W4300455949 abstract "No AccessJournal of UrologyClinical Urology: Case Report1 May 1995Delayed Hypersensitivity Reaction After Infusion of Nonionic Intravenous Contrast Material for an Excretory Urogram: A Case Report and Review of the Literature Mark D. Stovsky, Allen D. Seftel, and Martin I. Resnick Mark D. StovskyMark D. Stovsky More articles by this author , Allen D. SeftelAllen D. Seftel More articles by this author , and Martin I. ResnickMartin I. Resnick More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)67487-1AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail 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. References 1 : A retrospective survey of delayed adverse reactions to ionic and nonionic contrast media.. Nippon Acta Rad.1992; 52: 1565. Google Scholar 2 : Delayed reactions to contrast media after interleukin-2 immunotherapy.. Radiology1992; 183: 111. Google Scholar 3 : The delayed adverse reactions of low osmolar contrast media.. Nippon Acta Rad.1990; 50: 1359. Google Scholar 4 : Late adverse reactions to nonionic contrast media.. Radiology1992; 183: 737. Google Scholar 5 : A large trial of intravenous Conray 325 and Niopam 300 to assess immediate and delayed reactions.. Brit. J. Rad.1989; 62: 260. Google Scholar 6 : Pretreatment with corticosteroids to alleviate reactions to intravenous contrast material.. New Engl. J. Med.1987; 317: 845. Google Scholar 7 : Clinical analysis of drug eruption due to iohexol (Omnipaque).. Jap. J. Dermatol.1990; 100: 1057. Google Scholar 8 : Drug eruption due to iohexol (Omnipaque).. Jap. J. Clin. Rad.1990; 35: 533. Google Scholar 9 : Toxic epidermal necrolysis after excretory pyelography. (Immunologic-mediated contrast medium reaction.). Int. J. Dermatol.1988; 27: 346. Google Scholar 10 : Fatal acute vasculitis after high-dose urography with iohexol.. Brit. J. Rad.1986; 59: 620. Google Scholar 11 : Contrast media for urography.. In: Clinical Urography. Edited by . Philadelphia: W. B. Saunders Co.1990: 23. chapt. 4. Google Scholar 12 : Contrast media for urography. In: . Philadelphia: W. B. Saunders Co.1992: 405. chapt. 10. Google Scholar 13 : Acute reactions to urographic contrast medium: incidence, clinical characteristics and relationship to history of hypersensitivity states.. AJR1973; 119: 832. Google Scholar 14 : Adverse reactions to intravenous contrast agents in Ontario, 1975-1979.. J. Canad. Ass. Rad.1981; 32: 8. Google Scholar 15 : Delayed reactions to intravenous injections of urographic contrast media.. Adv. X-Ray Contrast1993; 1: 54. Google Scholar 16 : Reactions to contrast media: testing the CNS hypothesis.. Radiology1981; 138: 47. Google Scholar 17 : Systemic reactions to intravascular contrast media. A guide for the anesthesiologist.. Anesthesiology1984; 60: 46. Google Scholar 18 : Excretory urography in the adult. In: . Philadelphia: W. B. Saunders Co.1992: 412. chapt. 10. Google Scholar 19 : Administration of radiographic contrast media in high-risk patients.. Invest. Rad.1980; 15: S40. Google Scholar 20 : Prophylactic antihistamines in the management of radiographic contrast reactions.. Clin. Allergy1982; 12: 289. Google Scholar 21 : An approach to the performance of contrast studies in contrast material-reactive persons.. Ann. Intern. Med.1975; 83: 159. Google Scholar From the Department of Urology, Case Western Reserve University, Cleveland, Ohio.© 1995 by American Urological Association, Inc.FiguresReferencesRelatedDetails Volume 153Issue 5May 1995Page: 1641-1643 Advertisement Copyright & Permissions© 1995 by American Urological Association, Inc.MetricsAuthor Information Mark D. Stovsky More articles by this author Allen D. Seftel More articles by this author Martin I. Resnick More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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• W4300455949 title "Delayed Hypersensitivity Reaction After Infusion of Nonionic Intravenous Contrast Material for an Excretory Urogram: A Case Report and Review of the Literature" @default.
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