title: [Allergy to radiographic contrast media].
abstract: Allergy to radiographic contrast media Hypersensitivity reactions to radio-contrast media are common in the daily practice. These products are responsible for immediate (< or = 1 hour after administration) and non immediate (> 1 hour after administration) hypersensitivity reactions. A diagnostic work-up by an allergologist with skin tests and in some cases provocation tests is of value in reducing the risk of recurrent hypersensitivity reactions to iodinated contrast media. A careful selection of the patients is required because the incidence of breakthrough reactions is still concerning, even with proper premedication. Practical recommendations are presented in this article. For gadolinium-based contrast agents, data in the literature is not sufficient for suggesting guidelines.
authors.affiliation: Service d'immunologie et d'allergie, CHUV, 1011 Lausanne. julien.vionnet@chuv.ch
authors.forename: Julien
authors.initials: J
authors.lastname: Vionnet
authors.forename: Stéphanie
authors.initials: S
authors.lastname: Petitpierre
authors.forename: Alexandre
authors.initials: A
authors.lastname: Fumeaux
authors.forename: Reto
authors.initials: R
authors.lastname: Meuli
authors.forename: Francois
authors.initials: F
authors.lastname: Spertini
authors.forename: Denis
authors.initials: D
authors.lastname: Comte
mesh_terms: D003287:Contrast Media / Q000009:adverse effects*; D004342:Drug Hypersensitivity / Q000175:diagnosis / Q000209:etiology* / Q000517:prevention & control; D006801:Humans; D017613:Iodine Compounds / Q000009:adverse effects; D011859:Radiography
chemical_list: D003287:Contrast Media; D017613:Iodine Compounds