Unusual Hypersensitivity Reaction to Iohexol During Epidural Steroid Injection Resulting in Lipoma Development

A Case Presentation

Research output: Contribution to journalArticle

Abstract

Epidural steroid injections are common interventional pain procedures for radicular pain when conservative therapies fail. We present the case of a 36-year-old woman with lumbar radicular pain who developed a hypersensitivity reaction to iohexol during a fluoroscopically guided interlaminar epidural steroid injection resulting in lipoma development. Mechanisms of anaphylactoid reaction and recommendations for lipoma treatment are described based on clinical presentation. With an increase in the number of injections performed for pain management, awareness of this complication may need to be included for informed consent. Level of Evidence V

Original languageEnglish (US)
Pages (from-to)1218-1221
Number of pages4
JournalPM and R
Volume8
Issue number12
DOIs
StatePublished - Dec 1 2016

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Iohexol
Epidural Injections
Lipoma
Hypersensitivity
Steroids
Pain
Pain Management
Informed Consent
Injections
Therapeutics

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation
  • Neurology
  • Clinical Neurology

Cite this

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abstract = "Epidural steroid injections are common interventional pain procedures for radicular pain when conservative therapies fail. We present the case of a 36-year-old woman with lumbar radicular pain who developed a hypersensitivity reaction to iohexol during a fluoroscopically guided interlaminar epidural steroid injection resulting in lipoma development. Mechanisms of anaphylactoid reaction and recommendations for lipoma treatment are described based on clinical presentation. With an increase in the number of injections performed for pain management, awareness of this complication may need to be included for informed consent. Level of Evidence V",
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