Hemodialysis.com discusses Nephrogenic Systemic Sclerosis - NSF-
in patients with chronic kidney disease or on dialysis.

Nephrogenic Systemic Sclerosis is a disorder of the skin, connective tissue and sometimes other organs. NSF has been recognized only in the past few years. Patients with NSF develop skin symptoms of discoloration followed by thickening or hardening of the skin and deeper tissues. The hardening, called fibrosis, may extend over joints and affect muscles, limited mobility. Patients may also experience pain or other symptoms in the skin and joints.

Nephrogenic Systemic Sclerosis has been associated with chronic kidney disease or kidney failure. In particular, Nephrogenic Systemic Sclerosis is now thought to likely be a new form of delayed reaction to a dye, called gadolinium. Gadolinium is used in MRI and MRA imaging tests to enhance the effectiveness of the radiology exams.

Recent dermatology studies appear to be able to detect gadolinium in the skin of patients with Nephrogenic Systemic Sclerosis. Perhaps patients with chronic kidney disease were not able to effectively remove gadolinium after it was used as a contrast dye agent for MRI studies.

Other names for gadolinium include gadodiamide, GD-based contrast agents (GBCAs), Omniscan.

U.S. FDA Approves Bayer's Gadavist™ (Gadobutrol) Injection for MRI of the Central Nervous System

WAYNE, N.J., March 14, 2011 /PRNewswire/ -- Bayer HealthCare Pharmaceuticals Inc. announced today that the U.S. Food and Drug Administration has approved Gadavist™ (gadobutrol) Injection, a macrocyclic gadolinium-based contrast agent (GBCA), for intravenous use in diagnostic magnetic resonance imaging (MRI) in adults and children (2 years of age and older) to detect and visualize areas with disrupted blood brain barrier (BBB) and/or abnormal vascularity of the central nervous system (CNS).

FDA: New warnings required on use of gadolinium-based contrast agents

FDA NEWS RELEASE September 9, 2010
Media Inquiries:
Karen Riley, 301-796-4674; karen.riley@fda.hhs.gov

Consumer Inquiries: 888-INFO-FDA

Enhanced screening recommended to detect kidney dysfunction

Revisiting nephrogenic systemic fibrosis in 6 kidney transplant recipients: A single-center experience

Journal of the American Academy of Dermatology
Volume 63, Issue 3, Pages 389-399 (September 2010)

Determination of serum creatinine prior to iodinated contrast media: is it necessary in all patients?

Tech Urol. 1998 Jun;4(2):65-9.

Choyke PL, et al
Department of Diagnostic Radiology, Warren G. Magnuson Clinical Center, National Institutes of Health, Bethesda, Maryland 20892-1182, USA.

Screening patients to assess renal function before administering gadolinium chelates: assessment of the choyke questionnaire.

AJR Am J Roentgenol. 2010 Aug;195(2):424-8.

Sena BF, et al
Department of Radiology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA 02215, USA.

Nephrogenic systemic fibrosis. A debilitating disease causing fibrosis of the skin and inner organs in patients with kidney failure.

Clin Exp Rheumatol. 2010 Mar-Apr;28(2):268-74

Pieringer H, Biesenbach G.
Section of Rheumatology and Nephrology, 2nd Department of Medicine, General Hospital Linz, Austria.

Transmetallation and gadolinium: do low iron stores prevent the development of nephrogenic systemic fibrosis in high-risk end-stage renal disease patients?

Hemodial Int. 2010 Jul;14(3):289-94.

Panesar M et al
State University of New York at Buffalo, Buffalo, New York 14215, USA.

 

 


 
 
 
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