Advertisement

Pediatric Radiology

, Volume 23, Issue 8, pp 587–588 | Cite as

Hypersensitivity reaction to single contrast barium meal studies in children

  • D. A. Stringer
  • E. Hassall
  • A. C. Ferguson
  • R. Cairns
  • H. Nadel
  • M. Sargent
Originals

Abstract

We report two children who developed hypersensitivity reactions of varying severity following barium meal examination, the more severe of which was associated with documented severe food allergy. For children with this risk factor, contrast studies should be performed only where facilities and personnel are available for immediate resuscitation of all sizes of child. For children such as these, consideration should be given to the use of pure barium sulphate.

Keywords

Public Health Sulphate Barium Food Allergy Hypersensitivity Reaction 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Gelfand DW, Souers JC, DePonte KA et al (1985). Anaphylactic and allergic reactions during double contrast studies: is glucagon or barium suspension the allergen. AJR 144:405PubMedGoogle Scholar
  2. 2.
    Janower ML (1986) Hypersensitivity reactions after barium studies of the upper and lower gastrointestinal tract. Radiology 61:139Google Scholar
  3. 3.
    Shaffer JA, Eckard DA, de Lange EE et al (1988) Allergy to barium sulphate suspension with angioedema of the stomach and small bowel. Gastrointest Radiol 13:221PubMedGoogle Scholar
  4. 4.
    Feczko PJ, Simms SN, Bakirci N (1989) Fatal hypersensitivity reaction during a barium enema. AJR 153:275PubMedGoogle Scholar
  5. 5.
    Ahmed A, Hamza HM (1989) Barium sulphate absorption and sensitivity. Radiology 172:213PubMedGoogle Scholar
  6. 6.
    Janower ML, Feczko PJ (1990) Reactions to contrast materials during gastrointestinal studies (letters). Radiology 177:287Google Scholar
  7. 7.
    Schartz EE, Glick SN, Foggs M et al (1984) Hypersensitivity reactions after barium enema examinations. AJR 143:103PubMedGoogle Scholar
  8. 8.
    Ramani SK, Ismael AH (1990) Barium sulphate absorption and sensitivity. Radiology 174:895PubMedGoogle Scholar
  9. 9.
    Feczko PJ (1990) Increased frequency of reactions to contrast materials during gastrointestinal studies. Radiology 174:367–368PubMedGoogle Scholar
  10. 10.
    Miller RE, Skucas J (1977) Barium sulfate: additives. In: Miller RE, Skucas J (eds) Radiographic contrast agents. University Park, Baltimore, p 53Google Scholar
  11. 11.
    Patterson R, Anderson J (1982) Allergic reactions to drugs and biological agents. J Am Med Assoc 248:2637–2645Google Scholar
  12. 12.
    Coffman RL (1989) T-helper heterogeneity and immune response patterns. Hosp Pract 24:101–133Google Scholar
  13. 13.
    Van Reijsen FC, Bruignzell-Koomen CAFM, Kalthoff FS, Maggi E, Romagnani S, Westland JKJ, Mudd GC (1992) Skin derived aeroallergen specific T-cell clones of Th2 phenotype in patients with atopic dermatitis. J Allergy Clin Immunol 90:184PubMedGoogle Scholar
  14. 14.
    Patterson R, De Swarte RD, Greenberger P, Grammar LC (1986) Drug allergy and protocols for management of drug allergies. N Engl Allergy Proc 7:325Google Scholar

Copyright information

© Springer-Verlag 1993

Authors and Affiliations

  • D. A. Stringer
    • 1
  • E. Hassall
    • 2
  • A. C. Ferguson
    • 3
  • R. Cairns
    • 1
  • H. Nadel
    • 1
  • M. Sargent
    • 1
  1. 1.Department of RadiologyBritish Columbia's Children's HospitalVancouverCanada
  2. 2.Division of Gastroenterology, Department of PaediatricsBritish Columbia's Children's HospitalVancouverCanada
  3. 3.Division of Allergy, Department of PaediatricsBritish Columbia's Children's HospitalVancouverCanada

Personalised recommendations