Delayed reactions to contrast media after interleukin-2 immunotherapy

Radiology. 1992 Apr;183(1):111-4. doi: 10.1148/radiology.183.1.1549655.

Abstract

A prospective study was conducted by means of a questionnaire to determine the prevalence of delayed reactions to contrast media administered intravenously (iopamidol) and orally (diatrizoate sodium) in 170 patients who had received interleukin-2 (IL-2) and in 631 patients who did not. Another control group of 100 non-IL-2 patients received only oral contrast medium. Delayed reactions (eg, fever rash, flulike symptoms, joint pain, flushing, pruritus, and dizziness) were reported in 3.9% (25 of 631) of non-IL-2 patients and in 11.8% (20 of 170) of IL-2 patients. Reactions were mild in the non-IL-2 patients but were more severe in the IL-2 patients. Two IL-2 patients required hospitalization. Only rash, flulike symptoms, and pruritus were statistically more common in IL-2 patients than in non-IL-2 patients. The prevalence of delayed reactions to nonionic contrast medium is higher in patients who have received IL-2 than in the general population. Most delayed reactions do not require therapy, but, when necessary, therapy is usually limited to relief of symptoms.

MeSH terms

  • Administration, Oral
  • Diatrizoate / administration & dosage
  • Diatrizoate / adverse effects*
  • Humans
  • Immunotherapy
  • Injections, Intravenous
  • Interleukin-2 / therapeutic use*
  • Iopamidol / administration & dosage
  • Iopamidol / adverse effects*
  • Prospective Studies
  • Time Factors

Substances

  • Interleukin-2
  • Diatrizoate
  • Iopamidol