1995
DOI: 10.1177/028418519503600115
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Iodide Mumps after Intravascular Administration of a Nonionic Contrast Medium

Abstract: Swelling of the submandibular, sublingual and/ or parotid glands ("iodide mumps") is an uncommon complication to intravascular administration of contrast material. The etiology remains unclear, but the reaction seems to be idiosyncratic or related to toxic accumulation of iodide in the ductal systems of the salivary glands. The introduction of nonionic contrast media has not eliminated the risk of developing iodide mumps. The first reported case of iodide mumps after intravascular administration of iopromide (… Show more

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Cited by 36 publications
(19 citation statements)
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References 20 publications
(21 reference statements)
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“…20) Contrast media may also induce so-called iodide mumps, characterized by swelling of submandibular, sublingual or parotid glands and/or sialadenitis. 21,22) In rats, sodium iodide induces inflammatory lesions and squamous metaplasia of ducts in the sub-mandibular gland 23) that are in line with those seen in the present study. Moreover, treatment with iodinated glycerol is associated with focal atrophy and squamous metaplasia of the salivary glands.…”
supporting
confidence: 90%
“…20) Contrast media may also induce so-called iodide mumps, characterized by swelling of submandibular, sublingual or parotid glands and/or sialadenitis. 21,22) In rats, sodium iodide induces inflammatory lesions and squamous metaplasia of ducts in the sub-mandibular gland 23) that are in line with those seen in the present study. Moreover, treatment with iodinated glycerol is associated with focal atrophy and squamous metaplasia of the salivary glands.…”
supporting
confidence: 90%
“…Iodide mumps can occur after the administration of any type of iodinated contrast agent, including both ionic and nonionic media. 12 , 17 , 18 , 33 , 34 Eighteen of the 36 patients had received ionic contrast media, 15 had received nonionic contrast media, and the type of media was not specified in 3 cases. A low-osmolar nonionic contrast agent (ioversol) was used in our case.…”
Section: Discussionmentioning
confidence: 99%
“…Moreover, a large majority of the Na + /I − cotransporters are concentrated in the kidneys, and the remainder in the salivary, sweat, and lacrimal glands [7] . Thus, the risk of contrast-induced sialadenitis is presumed to increase with serum iodide levels and with existing renal dysfunction [8] . Indeed, in patients with end-stage renal function, emergent hemodialysis has shown to reduce the duration of the symptoms [9] .…”
Section: Discussionmentioning
confidence: 99%