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  5. Inorganic Chemistry Not Elsewhere Classified
  6. Rare Acute Generalized Exanthematous Pustulosis Caused By Iodixanol: A Case Report.
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  2. Research Domains
  3. Chemical Sciences
  4. Inorganic Chemistry
  5. Inorganic Chemistry Not Elsewhere Classified
  6. Rare Acute Generalized Exanthematous Pustulosis Caused By Iodixanol: A Case Report.

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Rare acute generalized exanthematous pustulosis caused by iodixanol: A case report.

Xiuxiu Ma1,2, Chaozhu He2, Xiaohong Zeng1,2

  • 1School of Nursing, Nanchang University, First Clinical Medical College, Jiangxi Medical College, Nanchang University, Jiangxi, China.

Medicine
|January 31, 2025

View abstract on PubMed

Summary
This summary is machine-generated.

This case report details a rare instance of acute generalized exanthematous pustulosis (AGEP) triggered by iodixanol contrast media. Prompt allergen avoidance and supportive care led to the patient's full recovery without recurrence.

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Area of Science:

  • Dermatology
  • Radiology
  • Allergology

Background:

  • Acute generalized exanthematous pustulosis (AGEP) is a rare, severe delayed allergic reaction, predominantly drug-induced.
  • Iodixanol, a contrast agent, is an infrequently reported cause of AGEP, with limited global and no reported cases in China.

Purpose of the Study:

  • To report a rare case of AGEP induced by iodixanol in a Chinese patient.
  • To highlight the clinical presentation, diagnostic findings, and management of iodixanol-induced AGEP.

Main Methods:

  • A case study of a 35-year-old female patient who developed AGEP after iodixanol administration for CT scanning.
  • Clinical observation, laboratory blood tests (WBC, neutrophils, CRP, IL-10), and skin biopsy for histopathological examination.
  • Treatment involved immediate allergen avoidance, corticosteroids, antihistamines, cyclosporine, and human immunoglobulin.

Main Results:

  • The patient presented with widespread erythema and sterile pustules, accompanied by elevated inflammatory markers and immune indicators.
  • Histopathology confirmed immune cell infiltration in the superficial dermis.
  • One-year follow-up showed complete resolution of symptoms and increased patient awareness of allergen prevention.

Conclusions:

  • The case exemplifies a severe, rare presentation of AGEP, characterized by pruritus, edema, erythema, pustules, and desquamation.
  • Discontinuation of iodixanol and symptomatic treatment resulted in successful recovery without recurrence.
  • Further research may lead to more standardized and scientific use of iodinated contrast media.