Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
50
pubmed:dateCreated
2007-12-6
pubmed:abstractText
Nephrogenic systemic fibrosis (NSF) - previously termed nephrogenic fibrosis dermopathy - is a newly recognized disorder occurring only in patients with renal failure. Exposure to gadolinium-containing contrast agents used for magnetic resonance imaging has been associated with subsequent development of NSF. This disease is characterised by swelling and tightening of the skin, mostly at the limbs. In addition, internal organs may be involved, which may ultimately cause death in rare cases. Skin biopsy showing fibrous tissue and spindle cells positive for CD34, and factor XIIIa as well as CD68-positive macrophages confirms the diagnosis. The main therapeutic goal is restoration of renal function by renal transplantation or recovery from acute renal failure, whenever possible. There are few data regarding other measures. The best available evidence for some therapeutic effect relates to physiotherapy and extracorporal photopheresis. Gadodiamide and gadopentetate-dimeglumin must not be used in stage 4 and 5 renal failure. Other gadolinium-containing contrast media must be used with extreme caution in patients with advanced renal failure.
pubmed:language
ger
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
1439-4413
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
132
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
2706-10
pubmed:dateRevised
2010-11-18
pubmed:meshHeading
pubmed-meshheading:18058663-Biopsy, pubmed-meshheading:18058663-Contrast Media, pubmed-meshheading:18058663-Diagnosis, Differential, pubmed-meshheading:18058663-Fibrosis, pubmed-meshheading:18058663-Gadolinium, pubmed-meshheading:18058663-Gadolinium DTPA, pubmed-meshheading:18058663-Germany, pubmed-meshheading:18058663-Glucocorticoids, pubmed-meshheading:18058663-Humans, pubmed-meshheading:18058663-Kidney Transplantation, pubmed-meshheading:18058663-Magnetic Resonance Imaging, pubmed-meshheading:18058663-Photopheresis, pubmed-meshheading:18058663-Plasmapheresis, pubmed-meshheading:18058663-Prednisone, pubmed-meshheading:18058663-Registries, pubmed-meshheading:18058663-Renal Insufficiency, pubmed-meshheading:18058663-Risk Factors, pubmed-meshheading:18058663-Skin, pubmed-meshheading:18058663-Skin Diseases
pubmed:year
2007
pubmed:articleTitle
[Nephrogenic systemic fibrosis--a new interdisciplinary challenge].
pubmed:affiliation
Klinik für Nieren- und Hochdruckkrankheiten, Medizinische Klinik, Universitätsklinikum Essen.
pubmed:publicationType
Journal Article, English Abstract, Review