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Pediatr Radiol. 2018 Nov;48(12):1688-1694. doi: 10.1007/s00247-018-4241-6. Epub 2018 Sep 21.

Allergic-like contrast media reaction management in children.

Author information

1
Department of Radiology, ML 5031, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave., Suite BR.176, Cincinnati, OH, 45229, USA. Jonathan.dillman@cchmc.org.
2
Department of Radiology, University of Cincinnati College of Medicine, Cincinnati, OH, USA. Jonathan.dillman@cchmc.org.
3
Department of Radiology, ML 5031, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave., Suite BR.176, Cincinnati, OH, 45229, USA.
4
Department of Radiology, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
5
Department of Radiology, University of Michigan Health System, Ann Arbor, MI, USA.

Abstract

The use of contrast materials as part of imaging examinations is common in children of all ages, as these compounds increase image contrast, lesion detection and lesion characterization. Though modern iodinated, gadolinium-based and ultrasound microbubble contrast materials generally are quite safe, acute physiological and allergic-like reactions are possible. The majority of acute contrast reactions in children are mild and self-limited; however, life-threatening reactions can occur. It is our obligation as radiologists to recognize and manage these adverse reactions. The objective of this article is to review the frequency, manifestations and appropriate treatment of acute contrast reactions in the pediatric population.

KEYWORDS:

Allergic-like reaction; Anaphylactoid reaction; Children; Contrast material; Contrast reaction; Treatment

PMID:
30242426
DOI:
10.1007/s00247-018-4241-6

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