Unilateral uveitis induced by a nonionic iodinated contrast agent - 26/08/11
, Mark Haefner, MD b, Bernard Mengiardi, MD cAbstract |
Purpose |
To report recurrent unilateral uveitis after computed tomography (CT) enhanced by the contrast agent iopamidol.
Design |
Observational case report.
Methods |
A 44-year-old man with a history of mixed-cellularity Hodgkin lymphoma, Stage I B (axillar, infraclavicular, subpectoral lymphomas) was under remission after chemotherapy and radiotherapy. The contrast-enhanced CT scans performed every 3 months were within hours followed by a marked unilateral anterior uveitis, vitritis, and retinal bleedings. Symptoms resolved with topical corticosteroid treatment within a week.
Results |
We observed recurrent unilateral uveitis after intravenously application of 150 ml of iopamidol for contrast-enhanced CT scans in a patient with lymphoma in remission.
Conclusions |
Iopamidol may induce uveitis under certain circumstances. We suggest a coincidence of immunologic mechanisms with predisposing discrete vascular radiation damage.
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Vol 136 - N° 5
P. 958-960 - novembre 2003 Retour au numéro
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- Peter E. Libre
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