Fimiano Federica, Pellicano Rinaldo, Marzano Alfredo
Unit of Gastroenterology, Section of Gastroenterology, Molinette Hospital, Città della Salute e della Scienza, Turin, Italy -
Unit of Gastroenterology, Section of Gastroenterology, Molinette Hospital, Città della Salute e della Scienza, Turin, Italy.
Minerva Gastroenterol (Torino). 2022 Dec;68(4):482-484. doi: 10.23736/S2724-5985.21.03087-4. Epub 2022 Jan 10.
Salivary gland enlargement following iodine-containing contrast media (ICCM), also known as iodide mumps (IM), is a rare condition characterized by swelling of submandibular glands with complete restitutio ad integrum. It manifests itself without pain, fever, dyspnea, rapid heart rate or low blood pressure. The pathogenesis is unknown, it may be an idiosyncratic reaction or toxic due to deposition of iodide in the salivary glands. IM is a condition more frequent in end stage renal disease because of iodine excretion by kidneys but it can also occur in patients without end stage renal disease. In this study, we described a 71-year-old patient with liver cirrhosis due to hepatitis B virus with normal renal function that after administration of ICCM developed IM.
含碘造影剂(ICCM)使用后出现的唾液腺肿大,也称为碘化物腮腺炎(IM),是一种罕见病症,其特征为下颌下腺肿胀且可完全恢复。它表现为无疼痛、发热、呼吸困难、心率加快或低血压。其发病机制尚不清楚,可能是一种特异反应或因碘化物在唾液腺沉积而产生的毒性反应。由于肾脏可排泄碘,IM在终末期肾病患者中更为常见,但也可发生于非终末期肾病患者。在本研究中,我们描述了一名71岁因乙型肝炎病毒导致肝硬化且肾功能正常的患者,在使用ICCM后发生了IM。