Radiocontrast media-induced acute generalized exanthematous pustulosis: A safe administration of alternative radiocontrast media using patch tests
Allergy, Asthma & Respiratory Disease
; : 270-273, 2018.
Article
en Ko
| WPRIM
| ID: wpr-716875
Biblioteca responsable:
WPRO
ABSTRACT
Acute generalized exanthematous pustulosis (AGEP) is rarely caused by radiocontrast media (RCM). The role of skin tests for the diagnosis and evaluation of cross-reactivity in a delayed type of RCM-induced hypersensitivity have yet to be determined. Here, we report a case of iodixanol-induced AGEP where we safely administered alternative RCM using patch tests. A 44-year-old woman had coronary artery angiography (CAG) for the evaluation of ischemic heart disease. She was on regular hemodialysis because of end-stage renal disease. She was given iodixanol (Visipaque) during CAG. Approximately 1 day after CAG, she developed AGEP. The patient was rehospitalized for CAG again after 1 year. We performed skin tests to choose safe alternative RCM. Intradermal tests with iodixanol, iohexol (Bonorex) and Iopamidol (Pamiray) showed negative responses. Patch tests showed a positive response to iodixanol, equivocal to iohexol, and negative to Iopamidol. We finally chose Iopamidol and performed CAG successfully without any adverse reaction. Patch tests may be a useful tool for the diagnosis and choice of safe alternatives in RCM-induced delayed-type hypersensitivity reactions such as AGEP.
Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Yohexol
/
Yopamidol
/
Pruebas Intradérmicas
/
Pruebas del Parche
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Pruebas Cutáneas
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Angiografía
/
Diálisis Renal
/
Isquemia Miocárdica
/
Medios de Contraste
/
Vasos Coronarios
Tipo de estudio:
Diagnostic_studies
Límite:
Adult
/
Female
/
Humans
Idioma:
Ko
Revista:
Allergy, Asthma & Respiratory Disease
Año:
2018
Tipo del documento:
Article