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Published on: May 31, 2021
Immediate hypersensitivity reactions to iodinated contrast media: The diagnosis of allergy by skin testing
Juliette Caron1, Sahara Graf2, Christine Delebarre-Sauvage1
1Service d'allergologie et d'éducation thérapeutique, Hôpital Saint Vincent-de-Paul, Lille Cedex, France.
Abstract:
Among 74 patients with an immediate hypersensitivity reaction (IHR) to iodinated contrast media (ICM), the rate of allergic patients confirmed by positive prick test or diluted intradermal test (IDT) was 8.1%. 12.5% of re-exposed patients had a recurrent IHR despite negative skin tests. Investigations on pure IDT to ICM and development of drug provocation test may provide additional safety nets to uncover recurrent ICM reactors. Agreements among allergists are needed to unify practices.
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