Reações de hipersensibilidade a meios de contraste em idade pediátrica

Introdução: Os procedimentos diagnósticos e terapêuticos com utilização de produtos de contraste são muito frequentes na prática clínica. Qualquer um destes agentes pode ser responsável por reações de hipersensibilidade, com um amplo espetro de gravidade. Objetivos: Revisão da epidemiologia, manifestações clínicas, diagnóstico e prevenção das reações de hipersensibilidade aos produtos de contraste em idade pediátrica. Desenvolvimento: Os produtos de contraste incluem meios radiológicos e não radiológicos. Ambos os grupos podem causar reações de hipersensibilidade imediata (quando ocorrem na primeira hora após exposição) e não imediata (quando ocorrem após a primeira hora). Imunologicamente aparentam ser mediadas por IgE e por células T, respetivamente. A investigação alergológica tem como objetivo confirmar o potencial agente causal e identificar agentes alternativos. Esta processa-se sequencial- mente através da história clínica, testes cutâneos e possível prova de provocação. Em casos de alergia confirmada, estes meios devem ser evitados. Conclusões: A abordagem sistematizada em caso de hipersensibilidade a produtos de contraste permite reduzir o número de reações adversas subsequentes, bem como a utilização de produtos alternativos com maior segurança.

Warsaw, Poland, 1762 (Image 1 of 4) (Raster Image)

This layer is a georeferenced raster image of the historic paper map entitled: Plan de la ville de Varsovie : dedie A. S. Mavgvste III roi de Pologne Electevr de Saxe, levé par ordre de S.E. M. le Comte Bielinksi Grand Marechal de la Covronne par M. P. Ricavd de Tirregaille Lieut. Colonel et Inginieur au Service du Roi et de la Repvblique en 1762 ; Marstalski fecit. It was published in 1762. Scale [ca. 1:6,600]. Covers Warsaw, Poland. This layer is image 1 of 4 total images, representing the southwest portion of the four sheet source map. Map in French and Polish. The image inside the map neatline is georeferenced to the surface of the earth and fit to the 'Pulkovo 1942 Adjust 1958 Poland Zone II' coordinate system. All map collar and inset information is also available as part of the raster image, including any inset maps, profiles, statistical tables, directories, text, illustrations, index maps, legends, or other information associated with the principal map. This map shows features such as roads, drainage, built-up areas and selected buildings, fortification, ground cover, and more. Relief shown by hachures. Includes index and views. This layer is part of a selection of digitally scanned and georeferenced historic maps from The Harvard Map Collection as part of the Imaging the Urban Environment project. Maps selected for this project represent major urban areas and cities of the world, at various time periods. These maps typically portray both natural and manmade features at a large scale. The selection represents a range of regions, originators, ground condition dates, scales, and purposes.

Warsaw, Poland, 1762 (Image 2 of 4) (Raster Image)

This layer is a georeferenced raster image of the historic paper map entitled: Plan de la ville de Varsovie : dedie A. S. Mavgvste III roi de Pologne Electevr de Saxe, levé par ordre de S.E. M. le Comte Bielinksi Grand Marechal de la Covronne par M. P. Ricavd de Tirregaille Lieut. Colonel et Inginieur au Service du Roi et de la Repvblique en 1762 ; Marstalski fecit. It was published in 1762. Scale [ca. 1:6,600]. Covers Warsaw, Poland. This layer is image 2 of 4 total images, representing the northwest portion of the four sheet source map. Map in French and Polish. The image inside the map neatline is georeferenced to the surface of the earth and fit to the 'Pulkovo 1942 Adjust 1958 Poland Zone II' coordinate system. All map collar and inset information is also available as part of the raster image, including any inset maps, profiles, statistical tables, directories, text, illustrations, index maps, legends, or other information associated with the principal map. This map shows features such as roads, drainage, built-up areas and selected buildings, fortification, ground cover, and more. Relief shown by hachures. Includes index and views. This layer is part of a selection of digitally scanned and georeferenced historic maps from The Harvard Map Collection as part of the Imaging the Urban Environment project. Maps selected for this project represent major urban areas and cities of the world, at various time periods. These maps typically portray both natural and manmade features at a large scale. The selection represents a range of regions, originators, ground condition dates, scales, and purposes.

Warsaw, Poland, 1762 (Image 3 of 4) (Raster Image)

This layer is a georeferenced raster image of the historic paper map entitled: Plan de la ville de Varsovie : dedie A. S. Mavgvste III roi de Pologne Electevr de Saxe, levé par ordre de S.E. M. le Comte Bielinksi Grand Marechal de la Covronne par M. P. Ricavd de Tirregaille Lieut. Colonel et Inginieur au Service du Roi et de la Repvblique en 1762 ; Marstalski fecit. It was published in 1762. Scale [ca. 1:6,600]. Covers Warsaw, Poland. This layer is image 3 of 4 total images, representing the northeast portion of the four sheet source map. Map in French and Polish. The image inside the map neatline is georeferenced to the surface of the earth and fit to the 'Pulkovo 1942 Adjust 1958 Poland Zone II' coordinate system. All map collar and inset information is also available as part of the raster image, including any inset maps, profiles, statistical tables, directories, text, illustrations, index maps, legends, or other information associated with the principal map. This map shows features such as roads, drainage, built-up areas and selected buildings, fortification, ground cover, and more. Relief shown by hachures. Includes index and views. This layer is part of a selection of digitally scanned and georeferenced historic maps from The Harvard Map Collection as part of the Imaging the Urban Environment project. Maps selected for this project represent major urban areas and cities of the world, at various time periods. These maps typically portray both natural and manmade features at a large scale. The selection represents a range of regions, originators, ground condition dates, scales, and purposes.

Warsaw, Poland, 1772 (Raster Image)

This layer is a georeferenced raster image of the historic paper map entitled: Plan de Varsovie, lev� par ordre de son exece. Mr. Ct. Bielinski Grand Marechal de la couronne ; dedi� � son exce. Mr. Le Dte. Wielhorski Gd. aitre d'Hot�l du G.D. de Lithuanie Sarofte de Kaminiec par son tr�s hble. et tr�s obt. serviteur Rizzi Zannoni ; grav� par Chalmandrier ; Arrivet fecit. It was published in 1772. Scale [ca 1:17,000]. Covers Warsaw, Poland. Map in French.The image inside the map neatline is georeferenced to the surface of the earth and fit to the 'Pulkovo 1942 Adjust 1958 Poland Zone II' coordinate system. All map collar and inset information is also available as part of the raster image, including any inset maps, profiles, statistical tables, directories, text, illustrations, index maps, legends, or other information associated with the principal map.This map shows features such as roads, drainage, built-up areas and selected buildings, fortification, ground cover, and more. Relief shown by hachures. Includes index, aerial view: Vue de Varsovi du c�t� de la Viscule, and views of individual buildings.This layer is part of a selection of digitally scanned and georeferenced historic maps from The Harvard Map Collection as part of the Imaging the Urban Environment project. Maps selected for this project represent major urban areas and cities of the world, at various time periods. These maps typically portray both natural and manmade features at a large scale. The selection represents a range of regions, originators, ground condition dates, scales, and purposes.

Warsaw, Poland, 1762 (Image 4 of 4) (Raster Image)

This layer is a georeferenced raster image of the historic paper map entitled: Plan de la ville de Varsovie : dedie A. S. Mavgvste III roi de Pologne Electevr de Saxe, levé par ordre de S.E. M. le Comte Bielinksi Grand Marechal de la Covronne par M. P. Ricavd de Tirregaille Lieut. Colonel et Inginieur au Service du Roi et de la Repvblique en 1762 ; Marstalski fecit. It was published in 1762. Scale [ca. 1:6,600]. Covers Warsaw, Poland. This layer is image 4 of 4 total images, representing the southeast portion of the four sheet source map. Map in French and Polish. The image inside the map neatline is georeferenced to the surface of the earth and fit to the 'Pulkovo 1942 Adjust 1958 Poland Zone II' coordinate system. All map collar and inset information is also available as part of the raster image, including any inset maps, profiles, statistical tables, directories, text, illustrations, index maps, legends, or other information associated with the principal map. This map shows features such as roads, drainage, built-up areas and selected buildings, fortification, ground cover, and more. Relief shown by hachures. Includes index and views. This layer is part of a selection of digitally scanned and georeferenced historic maps from The Harvard Map Collection as part of the Imaging the Urban Environment project. Maps selected for this project represent major urban areas and cities of the world, at various time periods. These maps typically portray both natural and manmade features at a large scale. The selection represents a range of regions, originators, ground condition dates, scales, and purposes.

Tableau encyclopédique et méthodique des trois regnes de la nature : Botanique, comprenant la dioecie, la polygamie et la cryptogamie /

Entre el título y el subtítulo consta : "vingt-deuxieme partie"

Oeuvres de Monsieur de Montesquieu : tome septième.

Contiene: Arsace & ; Isménie... ; Discours prononcé par... Montesquieu a la rentre du Parlament de Bordeaux ; L'Eloge historique du marechal de Berwick ; Lettres familiéres.

Tableau encyclopédique et méthodique des trois règnes de la nature ... : Mollusques testacés /

Entre el título y el subtítulo consta: "dix-unième partie"

Tableau encyclopédique et methodique des trois règnes de la nature : Botanique ... /

Mode of access: Internet.

Estado da medicina em 1858 : opusculo dividido em cinco partes dedicado a sua magestade el-rei o senhor Dom Pedro Quinto, e offerecido aos homens de consciencia e superiores que entre nós ensinam ou praticam a nobre e liberal profissao da medicina /

Mode of access: Internet.

Arte de conservar y arreglar los reloxes de muestra, para las personas que no tienen conocimiento alguno de la reloxeria /

Mode of access: Internet.

Phrasarium Sacrae Scripturae scriptoribus, et oratoribus sacris opportunum /

Mode of access: Internet.

Théatre des grecs /

Mode of access: Internet.

Théatre des grecs /

Mode of access: Internet.