Anaphylaxis to Iodinated Contrast Media: Clinical Characteristics Related with Development of Anaphylactic Shock
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{"title"=>"Anaphylaxis to Iodinated Contrast Media: Clinical Characteristics Related with Development of Anaphylactic Shock", "type"=>"journal", "authors"=>[{"first_name"=>"Min-Hye", "last_name"=>"Kim"}, {"first_name"=>"Suh-Young", "last_name"=>"Lee"}, {"first_name"=>"Seung-Eun", "last_name"=>"Lee"}, {"first_name"=>"Min-Suk", "last_name"=>"Yang"}, {"first_name"=>"Jae-Woo", "last_name"=>"Jung"}, {"first_name"=>"Chang Min", "last_name"=>"Park"}, {"first_name"=>"Whal", "last_name"=>"Lee"}, {"first_name"=>"Sang-Heon", "last_name"=>"Cho"}, {"first_name"=>"Hye-Ryun", "last_name"=>"Kang"}], "year"=>2014, "source"=>"PLoS ONE", "identifiers"=>{"pmid"=>"24932635", "doi"=>"10.1371/journal.pone.0100154", "issn"=>"1932-6203"}, "id"=>"4cc49e00-9434-3923-963d-78b1e680a6de", "abstract"=>"Objective: Anaphylaxis is the most severe form of radiocontrast media (RCM) induced hypersensitivity and can be life-threatening if profound hypotension is combined. With increased use of iodine based RCM, related hypersensitivity is rapidly growing. However, the clinical characteristics and risk factors of RCM induced anaphylaxis accompanied by hypotension (anaphylactic shock) are not clearly defined. This study was performed to investigate the risk factors of RCM induced anaphylactic shock and the clinical value of RCM skin testing to identify causative agents in affected patients. Methods: We analyzed the data of RCM induced anaphylaxis monitored by an inhospital pharmacovigilance center at a tertiary teaching hospital from January 2005 to December 2012 and compared the clinical features and skin test results according to the accompanying hypotension. Results: Among total of 104 cases of RCM induced anaphylaxis, 34.6% of patients, developed anaphylaxis on their first exposure to RCM. Anaphylactic patients presenting with shock were older (57.4 vs. 50.1 years, p = 0.026) and had a history of more frequently exposure to RCM (5.167.8 vs. 1.963.3, p = 0.004) compared to those without hypotension. Among RCMs, hypotension was more frequent in anaphylaxis related to iopromide compared to other agents (85.0% vs. 61.4%, p = 0.011). Skin tests were performed in 51 patients after development of RCM induced anaphylaxis. Overall skin test positivity to RCM was 64.7% and 81.8% in patients with anaphylactic shock. Conclusion: RCM induced anaphylactic shock is related to multiple exposures to RCM and most patients showed skin test positivity to RCM.", "link"=>"http://www.mendeley.com/research/anaphylaxis-iodinated-contrast-media-clinical-characteristics-related-development-anaphylactic-shock-1", "reader_count"=>30, "reader_count_by_academic_status"=>{"Unspecified"=>2, "Professor > Associate Professor"=>1, "Researcher"=>7, "Student > Doctoral Student"=>3, "Student > Ph. D. Student"=>1, "Student > Postgraduate"=>3, "Student > Master"=>2, "Other"=>4, "Student > Bachelor"=>7}, "reader_count_by_user_role"=>{"Unspecified"=>2, "Professor > Associate Professor"=>1, "Researcher"=>7, "Student > Doctoral Student"=>3, "Student > Ph. D. Student"=>1, "Student > Postgraduate"=>3, "Student > Master"=>2, "Other"=>4, "Student > Bachelor"=>7}, "reader_count_by_subject_area"=>{"Unspecified"=>2, "Nursing and Health Professions"=>2, "Medicine and Dentistry"=>22, "Agricultural and Biological Sciences"=>1, "Pharmacology, Toxicology and Pharmaceutical Science"=>1, "Business, Management and Accounting"=>1, "Immunology and Microbiology"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>22}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>2}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>1}, "Unspecified"=>{"Unspecified"=>2}, "Pharmacology, Toxicology and Pharmaceutical Science"=>{"Pharmacology, Toxicology and Pharmaceutical Science"=>1}}, "reader_count_by_country"=>{"Korea (South)"=>1, "Japan"=>1}, "group_count"=>1}

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  • {"files"=>["https://ndownloader.figshare.com/files/1536150"], "description"=>"<p>Continuous variables are expressed as mean ± standard deviation.</p><p>*P<0.05, <sup>†</sup>P<0.01. <sup>‡</sup>Among the total 104 subjects, radiocontrast media involved in anaphylaxis could not be identified in seven patients who had experienced anaphylaxis prior to the introduction of electronic medical recording system.</p>", "links"=>[], "tags"=>["immunology", "Clinical immunology", "allergies", "cardiology", "Acute cardiovascular problems", "Clinical medicine", "Diagnostic medicine", "Diagnostic radiology", "pharmacology", "Adverse reactions", "Critical care and emergency medicine", "Radiology and imaging", "research design", "Case-control studies", "Clinical research design", "Cross-sectional studies", "Retrospective studies"], "article_id"=>1058439, "categories"=>["Biological Sciences"], "users"=>["Min-Hye Kim", "Suh-Young Lee", "Seung-eun Lee", "Min-Suk Yang", "Jae-Woo Jung", "Chang Min Park", "Whal Lee", "Sang-Heon Cho", "Hye-Ryun Kang"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0100154.t001", "stats"=>{"downloads"=>1, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Clinical_characteristics_according_to_the_development_of_hypotension_/1058439", "title"=>"Clinical characteristics according to the development of hypotension.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-06-16 03:08:03"}

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