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This is by no means commonly accepted.  If you ask radiology to provide
any literature to support this approach it is case reports.  It may be
prevalent practice but not commonly accepted.  In patients with allergic
hx there is some trend to increased risk but it is not well studied and
I have never seen any data showing that any pre-tx protocol alters the
incidence.

The only proven risk is prior iodinated contrast reaction.

David

David Markenson, MD
Director
Center for Disaster Medicine
Associate Professor of Public Health
School of Public Health
New York Medical College

Chief, Pediatric Emergency Medicine
Associate Professor of Pediatrics
Maria Fareri Children's Hospital
at Westchester Medical Center
Valhalla, NY 10595
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-----Original Message-----
From: Pediatric Emergency Medicine Discussion List
[mailto:[log in to unmask]] On Behalf Of [log in to unmask]
Sent: Tuesday, January 02, 2007 1:36 PM
To: [log in to unmask]
Subject: Asthmatics who need contrast CT

 Is it generally accepted that Asthamtic children who require a CT with
IV contrast are required to go through a pre treatment protocol
including Diphenhydramine and Steroids? Does it depend on recent vs
remote last exacerbation?
Is anyone willing to share their protocols?
Thanks.
 
Elliott Friedman, MD
New York
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