Back to Search
Start Over
Practice parameters for diagnosing and managing iodinated contrast media hypersensitivity
- Source :
- Torres, M J; Trautmann, A; Böhm, I; Scherer, K; Barbaud, A; Bavbek, S; Bonadonna, P; Cernadas, J; Chiriac, A; Gaeta, F; Gimenez-Arnau, A M; Kang, H; Moreno, E; Brockow, K (2021). Practice Parameters for Diagnosing and Managing Iodinated Contrast Media Hypersensitivity. Allergy, 76(5), pp. 1325-1339. Wiley 10.1111/all.14656
- Publication Year :
- 2021
-
Abstract
- Immediate and non-immediate hypersensitivity reactions to iodinated contrast media (ICM) have been reported to occur in a frequency of about 0.5-3% of patients receiving non-ionic ICM. The diagnosis and management of these patients varies among guidelines published by various national and international scientific societies, with recommendations ranging from avoidance or premedication to drug provocation test. This position paper aims to give recommendations for the management of patients with ICM hypersensitivity reactions and analyze controversies in this area. Skin tests are recommended as the initial step for diagnosing patients with immediate and non-immediate hypersensitivity reactions; besides, they may also help guide on tolerability of alternatives. Reexposition or drug provocation test should only be done with skin test-negative ICMs.The decision for performing either reexposition or drug provocation test needs to be taken based on a risk-benefit analysis. The role of in vitro tests for diagnosis and pretreatment for preventing reactions remains controversial.
- Subjects :
- 0301 basic medicine
Drug
Hypersensitivity, Immediate
Allergy
medicine.medical_specialty
diagnosis
media_common.quotation_subject
Immunology
Provocation test
T cells
Iodine Compounds
Contrast Media
610 Medicine & health
Iodinated contrast media
Drug Hypersensitivity
03 medical and health sciences
0302 clinical medicine
medicine
Immunology and Allergy
Humans
Hypersensitivity, Delayed
Intensive care medicine
media_common
Skin Tests
business.industry
medicine.disease
allergy
030104 developmental biology
030228 respiratory system
Tolerability
Position paper
Premedication
IgE
hypersensitivity
business
management
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Torres, M J; Trautmann, A; Böhm, I; Scherer, K; Barbaud, A; Bavbek, S; Bonadonna, P; Cernadas, J; Chiriac, A; Gaeta, F; Gimenez-Arnau, A M; Kang, H; Moreno, E; Brockow, K (2021). Practice Parameters for Diagnosing and Managing Iodinated Contrast Media Hypersensitivity. Allergy, 76(5), pp. 1325-1339. Wiley 10.1111/all.14656 <http://dx.doi.org/10.1111/all.14656>
- Accession number :
- edsair.doi.dedup.....143b340d4720831c54207dee17420011