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| [[File:NephrogenicSystemicFibrosis.png|thumb]] | | #REDIRECT[[Nephrogenic systemic fibrosis]] |
| ==Background==
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| *Rare but serious scleroderma-like condition associated with gadolinium (MRI contrast) exposure in patients with renal impairment
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| *Risk of nephrogenic systemic fibrosis (NSF) with any renal impairment, acute or chronic, does not have to have ESRD
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| ==Clinical Features==
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| *Develops days to years after gadolinium exposure
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| *Chronic, progressive
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| *Skin becomes tight, thick, shiny, and indurated skin, with fibrotic nodules and plaques and brawny hyperpigmentation
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| **Painful, pruritic
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| **Extremities most commonly affected, followed by trunk. Face rarely involved
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| *Flexion contractures when lesions overlie joints, limited range of motion
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| *Neuromuscular involvement can occur
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| *In most severe cases, fibrosis involves internal organs (heart, lungs, liver)
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| ==Differential Diagnosis==
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| ==Evaluation==
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| ==Management==
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| *No specific management, supportive care
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| ==Disposition==
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| *Discharge
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| ==See Also==
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| *[[MRI contraindications]]
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| ==External Links==
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| ==References==
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| <references/>
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| [[Category:Renal]] [[Category:Radiology]]
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