Department of Dermatology, Medical Center of Hungarian Defense Forces, Budapest, Hungary
Adrienne Vajda is the Chief medical director of the Dermatology Department of the Health Centre of the Hungarian Defense Forces. Member of the Hungarian Dermatological Society, the Hungarian Cancer Society, and the Hungarian College of Pathology and she is use to treat In- and outpatient medical care of skin and genital diseases, general pathology; care and treatment of dermato-oncological diseases and also attended Pathology, Aachen, Germany; Oncology-Salzburg-Cornell Seminar, Salzburg, Austria.
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.
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