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In aceasta sectiune veti gasi suportul teoretic pentru stagiu

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Ca metoda de evaluare si recapitulare vom folosi Ed Puzzle.

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Type I hypersensitivity (IgE-mediated hypersensitivity) - causes, symptoms, pathology

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Folosind Platforma Pub Med Central, gasiti un articol care sa ilustreze rolul/necesitatea/provocari privind reactia de hipersensibilitate tip I in corelatie cu specializarea pe care doriti sa o alegeti.

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Affiliations

¹ Allergy Unit, Regional University Hospital of Malaga-IBIMA-UMA-ARADyAL, Malaga, Spain.

² Department of Dermatology and Allergy, University Hospital Würzburg, Würzburg, Germany.

³ Department of Diagnostic, Interventional, and Pediatric Radiology, Inselspital, University of Bern, Bern, Switzerland.

⁴ Allergology, University Hospital Basel, Basel, Switzerland.

⁵ Service de Dermatologie et Allergologie, Sorbonne Université, INSERM, Institut Pierre Louis d'Epidemiologie et de Sante Publique, AP-HP, Sorbonne Universite, Hopital Tenon, Paris, France.

⁶ Department of Chest Disease, Division of Immunology and Allergy, School of Medicine, Ankara University, Ankara, Turkey.

⁷ Allergy Unit, Verona University Hospital, Verona, Italy.

⁸ Department of Allergy and Immunology, Centro Hospitalar Universitário de S João, Porto, Portugal.

⁹ Department of Pulmonology, Division of Allergy, Hôpital Arnaud de Villeneuve, University Hospital of Montpellier, Montpellier, France.

¹⁰ Allergy Unit, Columbus Hospital, Agostino Gemelli IRCCS University Hospital, Rome, Italy.

¹¹ Department of Dermatology, Hospital del Mar, IMIM, Universitat Autònoma Barcelona, Barcelona, Spain.

¹² Department of Internal Medicine, Division of Allergy and Clinical Immunology, Seoul National University College of Medicine, Seoul, Korea.

¹³ Allergy Unit, University Hospital of Salamanca-IBSAL-UMA-ARADyAL, Salamanca, Spain.

¹⁴ Department of Dermatology and Allergy Biederstein, School of Medicine, Technical University of Munich, Munich, Germany.

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Affiliations

¹ Allergy Unit, Regional University Hospital of Malaga-IBIMA-UMA-ARADyAL, Malaga, Spain.

² Department of Dermatology and Allergy, University Hospital Würzburg, Würzburg, Germany.

³ Department of Diagnostic, Interventional, and Pediatric Radiology, Inselspital, University of Bern, Bern, Switzerland.

⁴ Allergology, University Hospital Basel, Basel, Switzerland.

⁵ Service de Dermatologie et Allergologie, Sorbonne Université, INSERM, Institut Pierre Louis d'Epidemiologie et de Sante Publique, AP-HP, Sorbonne Universite, Hopital Tenon, Paris, France.

⁶ Department of Chest Disease, Division of Immunology and Allergy, School of Medicine, Ankara University, Ankara, Turkey.

⁷ Allergy Unit, Verona University Hospital, Verona, Italy.

⁸ Department of Allergy and Immunology, Centro Hospitalar Universitário de S João, Porto, Portugal.

⁹ Department of Pulmonology, Division of Allergy, Hôpital Arnaud de Villeneuve, University Hospital of Montpellier, Montpellier, France.

¹⁰ Allergy Unit, Columbus Hospital, Agostino Gemelli IRCCS University Hospital, Rome, Italy.

¹¹ Department of Dermatology, Hospital del Mar, IMIM, Universitat Autònoma Barcelona, Barcelona, Spain.

¹² Department of Internal Medicine, Division of Allergy and Clinical Immunology, Seoul National University College of Medicine, Seoul, Korea.

¹³ Allergy Unit, University Hospital of Salamanca-IBSAL-UMA-ARADyAL, Salamanca, Spain.

¹⁴ Department of Dermatology and Allergy Biederstein, School of Medicine, Technical University of Munich, Munich, Germany.

Abstract

Immediate and nonimmediate hypersensitivity reactions to iodinated contrast media (ICM) have been reported to occur in a frequency of about 0.5%-3% of patients receiving nonionic ICM. The diagnosis and management of these patients vary among guidelines published by various national and international scientific societies, with recommendations ranging from avoidance or premedication to drug provocation test. This position paper aims to give recommendations for the management of patients with ICM hypersensitivity reactions and analyze controversies in this area. Skin tests are recommended as the initial step for diagnosing patients with immediate and nonimmediate hypersensitivity reactions; besides, they may also help guide on tolerability of alternatives. Re-exposition or drug provocation test should only be done with skin test-negative ICMs. The decision for performing either re-exposition or drug provocation test needs to be taken based on a risk-benefit analysis. The role of in vitro tests for diagnosis and pretreatment for preventing reactions remains controversial.

Keywords: IgE; Iodinated contrast media; T cells; allergy; diagnosis; hypersensitivity; management.

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References

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national center for biotechnology information

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Practice parameters for diagnosing and managing iodinated contrast media hypersensitivity - PubMed

# data[].attributes.attachment_link.description
Immediate and nonimmediate hypersensitivity reactions to iodinated contrast media (ICM) have been reported to occur in a frequency of about 0.5%-3% of patients receiving nonionic ICM. The diagnosis and management of these patients vary among guidelines published by various national and international ...

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Pe baza articolului ales de pe platforma Pub Med, creati un caz clinic de reactie de hipersensibilitate tip I. Utilizati platforma de AI : Bing Image Generator pentru a genera o imagine sugestiva care sa reflecte datele din cazul vostru clinic, conform exemplului de mai jos.

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