NSF/NFD
NSF refers to nephrogenic systemic fibrosis. It is a rare disease but seems to frequently occur in patients who had a gadolinium-based MRI dye injected in the weeks or months before being diagnosed with NSF. NSF is also known as nephrogenic fibrosing dermopathy (NFD).
NSF/NFD was first diagnosed around 10 years ago. It is so new and rare that medical experts are still trying to determine exactly what causes it and how it can be treated. What is known about NSF/NFD is that patients with kidney problems, including acute renal failure, who have an MRI dye containing gadolinium seem to be at the highest risk of developing NSF/NFD.
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As of December 2006, 90 patients in the U.S. reported an NSF/NFD diagnosis after having an MRI or MRA. Worldwide, the medical histories of 75 of 215 patients with an NSF/NFD diagnosis were studied. All of the patients studied had received a gadolinium-based dye for an MRI or MRA. The FDA reports that biopsies of patients with NSF/NFD revealed that those patients had gadolinium in their skin. Furthermore, these patients developed NSF/NFD from two days to 18 months after having their scans done. The dose of gadolinium-based dye that the patients received varied from just one dose to very high doses.