| Autor: |
Donnelly PK; Department of Surgery, Leicester General Hospital, UK., Williams B, Watkin EM |
| Jazyk: |
angličtina |
| Zdroj: |
European journal of radiology [Eur J Radiol] 1993 Sep; Vol. 17 (2), pp. 130-2. |
| DOI: |
10.1016/0720-048x(93)90050-w |
| Abstrakt: |
Since the introduction of low osmolality non-ionic media, acute reactions to radiographic contrast are uncommon and delayed reactions are especially rare, consisting mostly of mild flu-like symptoms. We report two patients suffering from end-stage renal failure and treated by continuous ambulatory peritoneal dialysis (CAPD) who developed a severe constitutional illness including acute polyarthropathy 6 and 16 h after injection of the low osmolality non-ionic contrast medium, iopamidol. Although the clinical presentation of the reactions was similar to a systemic lupus syndrome there was no immunological evidence to support this as an aetiological mechanism. Since CAPD is a relatively inefficient method of clearing contrast media prolonged high circulating levels of iopamidol may have been a contributory factor to these unusually severe delayed contrast reactions. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
|
