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Gadolinium‐induced nephrogenic systemic fibrosis in a patient with an acute and transient kidney injury

Identifieur interne : 001999 ( Main/Exploration ); précédent : 001998; suivant : 001A00

Gadolinium‐induced nephrogenic systemic fibrosis in a patient with an acute and transient kidney injury

Auteurs : R. E. Kalb [États-Unis] ; T. N. Helm [États-Unis] ; H. Sperry [États-Unis] ; C. Thakral [États-Unis] ; J. L. Abraham [États-Unis] ; E. Kanal [États-Unis]

Source :

RBID : ISTEX:7A6318A96F406A14B45CD6479C9A6D001AA47699

Abstract

Nephrogenic systemic fibrosis (NSF) describes a characteristic fibrosing disorder which typically presents with indurated plaques on the trunk and extremities of patients with advanced renal disease. We present a case of biopsy‐confirmed NSF in a patient with severe acute kidney injury with no prior history of renal disease. A 64‐year‐old man with an acute and severe decrease in glomerular filtration rate underwent magnetic resonance imaging studies with gadolinium contrast (Omniscan™) and subsequently developed NSF. His renal disease had normalized at the time his skin disease developed. Skin biopsies revealed findings of NSF and scanning electron microscopy with energy‐dispersive X‐ray spectroscopy confirmed insoluble gadolinium within lesional tissue.

Url:
DOI: 10.1111/j.1365-2133.2007.08369.x


Affiliations:


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