对比诱导的肌炎:在放射学和临床实践中未被充分认识到的不良反应
Alena Khalil1, Kevin J Abrams2,3, Charif Sidani2,3
1Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Davie, Clearwater, Florida, USA.
对比诱导的腺炎 (CIS) 是一种罕见的唾液腺炎症,发生在有的对比介质 (ICM) 后. 及时识别和预防措施,如前期治疗,对于管理这种情况至关重要.
科学领域:
- 放射学 放射学是一门学科.
- 病理学 病理学 病理学
背景情况:
- 对比诱导性腺炎 (CIS) 是一种不常见的炎症反应,影响液腺在离子对比介质 (ICM) 暴露后.
- 它呈现为腺体胀和疼痛,通常与非离子,低度的对比剂以及过敏或功能障碍等危险因素有关.
研究的目的:
- 介绍一个病例系列,三名患者经过对比度增强CT扫描后出现了状腺炎.
- 强调早期识别的重要性,与其他病理区分,并坚持CIS的预防策略.
主要方法:
- 对三名患有CIS的患者进行了病例系列分析,这些患者在CT增强对比度后出现了CIS.
- 对临床表现,诊断成像发现 (CT/超声波) 和管理策略的审查.
主要成果:
- 呈现的情况从轻微的下下部胀到严重的双侧状腺和下部腺炎症.
- 典型的成像发现包括腺体扩大,危险腺体脂肪分离和异质增强.
结论:
- CIS需要放射科医生迅速识别和区分感染性或瘤性疾病.
- 预防措施 (皮质类固醇前期治疗,补水) 和支持性管理 (皮质类固醇,NSAIDs) 是关键的,特别是在高风险人群中.
- 需要进一步的研究来优化CIS的预防和治疗策略.
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