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Adrienn Kása-Kovács
Department of Dermatology, Medical Center of Hungarian Defense Forces, Budapest, Hungary
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Research Article
Three-Step Diagnostic Assessment Following Adverse Reaction due to X-ray Contrast Media: An 11-Year Study in 47 Patients
Author(s): Joseph M. Baló-Banga*, Martina Kádas, Adrienn Kása-Kovács and Adrienne Vajda
Background: The diagnostic evaluation of adverse reactions occurring after iodinated contrast media is still debated. Immediate, delayed-type immune reactions and non-immune adverse events have to be differentiated. Our aim was to assess a safe three-step routine procedure in a single-center teaching hospital 2010-2021 with a prospective “real- life” outlook. Methods: Forty-seven patients after mild intermediate and severe adverse events were tested in three consecutive days. Skin prick tests with 2 to 5 undiluted media were followed at 24 hours by intradermal testing of 2 different concentrations each (10-2m and 10-3m). The results were red after both 20 and 70 minutes and at 24 hours. On day three one negative medium selected was 1/3 diluted and given intravenously under close observation. .. View more»