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Vegetating iododerma with fatal outcome.

A Miranda-Romero1, P Sánchez-Sambucety, J I Esquivias Gómez

  • 1Departamento de Dermatología, Hospital Universitario de Valladolid, España.

Dermatology (Basel, Switzerland)
|July 7, 1999
PubMed
Summary

A rare and fatal case of vegetating iododerma, a severe skin reaction to iodine contrast, occurred in a 65-year-old woman post-cardiac catheterization. This highlights the critical need for prompt diagnosis of this exceptional condition.

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Area of Science:

  • Dermatology
  • Nephrology
  • Radiology

Background:

  • Cardiac catheterization procedures frequently utilize iodine-based contrast agents.
  • Adverse reactions to contrast media can range from mild to severe and life-threatening.

Observation:

  • A 65-year-old woman presented with acute renal failure, respiratory distress, and unusual skin lesions 5 days after cardiac catheterization with iodine contrast.
  • The cutaneous lesions included large vegetating masses on the cheeks and pustular vesicular eruptions on the extremities.

Findings:

  • The patient developed a severe, rapidly progressing condition consistent with iododerma, specifically a vegetating form.
  • Despite medical intervention, the patient's condition deteriorated, leading to death within two weeks of symptom onset.

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Implications:

  • This case underscores the rare but potentially fatal nature of vegetating iododerma.
  • Early recognition and diagnosis of iododerma are crucial for timely management and potentially improving patient outcomes.