Iodinated contrast-induced Stevens-Johnson syndrome: A report of a rare complication for a common imaging agent.

Carrera D, Ulloa JG. Iodinated contrast-induced Stevens-Johnson syndrome: A report of a rare complication for a common imaging agent. Journal of vascular surgery cases and innovative techniques. 2022 Sep 1; 8(3):455-457.

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Abstract:

Steven-Johnson syndrome (SJS) is a rare condition commonly associated with exposure to antibiotics. We have presented the case of a 76-year-old man with end-stage renal disease who had developed SJS after endovascular thrombectomy of hemodialysis access. He had developed epithelial erosions of the mucosal membranes, hemorrhagic bullae to the palmar and plantar surfaces, and erosions of the genitalia. The findings from biopsies of the lip and palm were suggestive of a drug reaction. He developed SJS three times after exposure to iodinated contrast. The one time he did not develop SJS, he had undergone open thrombectomy with no contrast exposure.