All issues > Volume 52(4); 2009

Case Report

Korean J Pediatr. 2009;52(4):499-503. Published online April 15, 2009.

Late adverse reactions to iopromide (Ultravist®) diagnosed by the patch test: a case report

Soon Joo SJ Lee¹, Eun Mi EM Yang¹, Woo Yeon WY Choi¹, Eun Song ES Song¹, Dong Kyun DK Han¹, Young Kuk YK Cho¹, Jae-Sook JS Ma¹

¹Department of Pediatrics, Chonnam National University Medical School, Chonnam National University Hospital, Gwang-Ju, Korea

Correspondence Jae-Sook JS Ma ,Email: cardiol@jnu.ac.kr

Abstract

Iodinated contrast media (CM) can cause immediate and late reactions. We treated a patient with a recurrent generalized maculopapular rash and a fever that occurred within two days of exposure to iodinated CM, iopromide (UltravistⓇ), for chest computed tomography. We performed skin testing including prick tests, intradermal tests, and patch tests. Our findings indicated a late skin reaction to Ultravist￠cin addition to cross-reactions to other iodinated CM such as ioversol (OptirayⓇ), iohexol (IobrixⓇ), and iobitridol (XenetixⓇ). In this study, we report the case of a patient diagnosed with a late adverse reaction to Ultravist￠cin addition to cross-reactions to other iodinated CM.

Keywords :Iopromide, Late Adverse Reaction, Patch Test, Cross-reaction