Abstract
We report a case of extensive exfoliative dermatitis in a patient appearing 3 days after intracoronary administration of non-ionic contrast medium Iodixanol (Visipaque) during the primary percutaneous coronary intervention. The patient presented with acute myocardial infarction and has never exposed to any X-ray contrast medium. The patient was successfully treated with corticosteroid, antihistamines and antibiotics for the prevention of secondary bacterial infection. The patient was recovered 8 days after the anti-allergic medical management. This case can be a rare example of late-onset allergic reaction to a non-ionic contrast medium Iodixanol presented with extensive exfoliative dermatitis.
MeSH terms
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Angioplasty, Balloon, Coronary / adverse effects
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Angioplasty, Balloon, Coronary / methods*
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Chest Pain / diagnosis
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Chest Pain / etiology
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Contrast Media / adverse effects*
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Coronary Angiography
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Dermatitis, Exfoliative / chemically induced*
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Dermatitis, Exfoliative / drug therapy
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Dermatitis, Exfoliative / physiopathology
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Drug-Eluting Stents
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Emergency Service, Hospital
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Follow-Up Studies
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Histamine H1 Antagonists / therapeutic use
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Humans
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Male
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Middle Aged
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Myocardial Infarction / diagnostic imaging
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Myocardial Infarction / therapy*
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Risk Assessment
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Severity of Illness Index
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Steroids / therapeutic use
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Triiodobenzoic Acids / adverse effects*
Substances
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Contrast Media
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Histamine H1 Antagonists
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Steroids
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Triiodobenzoic Acids
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iodixanol