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[含碘造影剂给药后伴发涎腺炎、过敏性血管炎和结膜炎的急性碘中毒]

[Acute iodine poisoning associated with sialadenitis, allergic vasculitis and conjunctivitis following administration of iodine-containing contrast media].

作者信息

Reutter F W, Eugster C

出版信息

Schweiz Med Wochenschr. 1985 Nov 16;115(46):1646-51.

PMID:4081697
Abstract

Sialadenitis ("iodide mumps") and allergic vasculitis are rare sequelae to administration of iodinated contrast media. The condition is characterized by rapid, painless, bilateral enlargement of salivary glands following administration of iodinated contrast media. An 81-year-old female patient with moderate renal failure is described in whom marked sialadenitis, allergic vasculitis with (in part) bloody blisters developed following excretory urography and digital subtraction angiography of the renal arteries. Additional but mild symptoms included fever and conjunctivitis. All lesions subsided completely within four weeks. A relation between blood iodine concentration and extent of the lesions could be demonstrated. The highest iodine level in serum determined was 70 600 micrograms/100 ml.

摘要

涎腺炎(“碘化物性腮腺炎”)和过敏性血管炎是使用碘化造影剂后罕见的后遗症。该病的特征是在使用碘化造影剂后,唾液腺迅速、无痛、双侧肿大。本文描述了一名81岁的中度肾衰竭女性患者,其在排泄性尿路造影和肾动脉数字减影血管造影后出现了明显的涎腺炎、伴有(部分)血性水疱的过敏性血管炎。其他轻微症状包括发热和结膜炎。所有病变在四周内完全消退。可以证明血碘浓度与病变程度之间存在关联。测定的血清中最高碘水平为70600微克/100毫升。

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