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Late-onset acute respiratory distress syndrome induced by a gadolinium-based contrast agent.
Respir Med Case Rep
December 2019
Department of Internal Medicine, Fuji City General Hospital, Shizuoka Japan, 50, Takashima-cho, Fuji-shi, Shizuoka, Japan.
Rapid decline of pulmonary function in acute respiratory distress syndrome (ARDS) can make ARDS a dangerous and potentially life-threatening condition. Gadolinium-based contrast agents are considered safe alternatives to iodine-based contrast agents, with comparatively fewer adverse effects and a lower incidence of serious adverse events, such as dyspnea or hypotension. There are five reported cases of gadolinium-induced ARDS.
View Article and Find Full Text PDFGadolinium-based contrast mediums are the most commonly used agents in magnetic resonance imaging for both angiography, and brain tumor enhancement due to their association with the degradation of the blood-brain barrier. When oxidation is removed from gadolinium medium and gadolinium salts, a silvery-white metal anions remain that are able to induce allergic reactions and anaphylaxis. Whereas such reactions are not common, other reactions including nephrogenic systemic fibrosis and acute kidney injury due to primary excretion of gadolinium from the kidneys and various cardiac arrhythmias including QTc electrocardiographic prolongation are occasionally encountered 1,2.
View Article and Find Full Text PDFGadolinium-induced anaphylaxis with positive skin test results.
Ann Allergy Asthma Immunol
June 2019
Division of Pulmonary, Allergy and Sleep Medicine, Department of Medicine, Mayo Clinic Florida, Jacksonville, Florida. Electronic address:
Gadolinium induced anaphylaxis under general anesthesia in a patient with sickle cell disease.
J Clin Anesth
May 2019
Department of Pediatric Anesthesiology at Westchester Medical Center, New York Medical College, Valhalla, NY, United States of America.
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