Abstract
We report two incide ntal observations of radiocontrast-induced sialadenitis which occurred in a patient with normal renal function and in another patient undergoing chronic haemodialysis. Our first observation consisted of parotid gland, enlargement noted 1 h after contrast injection and which presaged anaphy lactoid shock. In the second cast salivary gland enlargement developed 3 days after administration of iodinated agent. A review of the literature based on 27 published observations. In dicates that two different presentations of iodide-induced sialadenitis canbe recognisedaccording totheirpathogenesis. In patients with normally functioning kidneys, the occurrence of sialadenitis after a shortdelay(5 min to 24 h) evokes an anaphylactoidmechanism. Conversely, in patients with impaired renal function, the delayed onset (1–5 days) of this adverse reaction suggest a toxic effect.
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Melki, P.S., Mugel, T., Cléro, B. et al. Distinct presentations of radiocontrast-induced sialadenitis in renal insufficients and in patients with normal renal function. Eur. Radiol. 4, 254–257 (1994). https://doi.org/10.1007/BF00606456
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DOI: https://doi.org/10.1007/BF00606456