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Allergic-like contrast reactions in the ED: Incidence, management, and impact on patient disposition

The American Journal of Emergency Medicine Oct 18, 2017

Gottumukkala RV, et al. - The goal of this work was to determine the incidence, management, and impact on the patient disposition of allergic-like contrast reactions (ALCR) to intravenous iodinated contrast in the emergency department (ED). Researchers recognized a rare occurrence of ALCR among ED patients undergoing contrast-enhanced CT (CECT). These were generally of mild severity, respond well to pharmacologic management, and do not alter patient disposition in most cases. Familiarity with symptoms, management, and prevention strategies was increasingly relevant to the emergency physician given the ubiquity of CECT.
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