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Severe body rashes after CT contrast.
Stomach ulcer and infection for 2 weeks. Taking medicines prescribed by a gastroenterologist for 2 weeks, but abdominal pain did not improve. Gastroenterologist advised CT scan of the abdomen. During CT scan, contrast injection was given. About 1 day after the contrast injection, severe rashes developed all over the body. Rashes have continued for 4–5 days and are very severe/widespread. Consulted both dermatologist and gastroenterologist and took prescribed medicines, but rashes have not improved. Abdominal pain is now relieved and there is no current significant stomach pain. The main problem now is severe widespread body rashes that started shortly after the CT contrast injection.
Answers (6)
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It’s delayed contrast-media reaction.
Most delayed contrast reactions are self-limited,
but severe or progressive widespread eruptions require reassessment to exclude a severe cutaneous adverse rxn.
Next Steps
CBC with differential/ or eosinophils, LFT, RFT, electrolytes
and urine R/M to look for systemic involvemen.
Tab LCZ 5 mg/BD
Health Tips
Go to the emergency department immediately if there is difficulty breathing, facial or tongue swelling, hypotension, blistering or peeling skin, skin pain, mucosal ulcers, eye involvement, high fever, or rapidly progressive rash.
these features require exclusion of a serious drug or contrast rxns.
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Dermatologist
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Do as a follow medicine dermatology
Not take any medicine it self
More information contact me
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Requires a proper assessment to understand the underlying cause and guide you.
Please book a consultation for a detailed evaluation, personalized treatment plan and further advice.
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Dr. Aditya Bibekanand Dash
General Physician
Mumbai
If there is no blistering and only rash then it could be due to iv contrast some person are allergic to it and causes rashes all over body. Look for signs like wheezing or swelling of face and lips. If not present take anti histamine and topical steroid for resolving issue. It would persist until the contrast traces are in ur body.
Next Steps
wait for few days it will resolve in few days
Health Tips
need further evaluation or advise , kindly opt for consultation
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Dr. Madhu R
General Physician
Challakere
Oral antihistamine and topical corticosteroid should be given
Next Steps
use safe body lotion to prevent dryness of skin
Health Tips
avoid hot water bath till rashes resolve
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.