• Omniscan
  (Gadodiamide, Manufacturer: GE Healthcare)
• OptiMARK
  (Gadoversetamide Injection, Manufacturer: Mallinckrodt/Tyco Healthcare)
• Magnevist
  (Gadopentetate Dimeglumine Injection, Manufacturer: Bayer HealthCare Pharmaceuticals/ Schering AG/Berlex)
• ProHance
  (Gadoteridol Injection, Manufacturer: Bracco Diagnostics)
• MultiHance
  (Gadobenate Dimeglumine, Manufacturer: Bracco Diagnostics)

Nephrogenic Systemic Fibrosis / Nephrogenic Fibrosing Dermotherapy (NSF/NFD)

NSF/NFD is seen in kidney disease patients who have undergone MRI or MRA with a gadolinium contrast agent. It is characterized by the following:

• Most patients with NSF have advanced to end-stage kidney disease. Some patients with NSF have moderate renal dysfunction.
• NSF leads to excessive formation of connective tissue in the skin and internal organs.
• In NSF, the skin becomes thickened, coarse and hard and can become disabling.
• NSF is a progressive disorder.
• NSF may be fatal.

Symptoms may include:

• Swelling, hardening and tightening of the skin in extremities or torso
• Red or dark patches on the skin. Papules, plaques or lesions between ankles and thighs and wrist and arms.
• Blistering and swelling of the hands and feet.
• Burning or itching sensations
• Spots on the whites of the eyes which are yellow
• Joint stiffness
• Movement problems affecting the arms, hands, legs or feet
• Difficulty walking
• Pain in hip bone or ribs
• Muscle weakness

First Name Last Name Email Address Phone Number Cell Phone Number Street Address City State Choose State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code Please describe kidney problems / failure:

Date of birth of injured person (mm/dd/yyyy)
Date of MRI / MRA: Were you injected with a gadolinium-based contrast agent?
Yes No

Have you been diagnosed with Nephrogenic Systemic Fibrosis/ Nephrogenic Fibrosing Dermopathy?
Yes No

Other Comments:
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