Term Paper on "Dangers of Gadolinium"

Term Paper 4 pages (1110 words) Sources: 5 Style: APA

[EXCERPT] . . . .

NSF/NFD (nephrogenic systemic fibrosis or nephrogenic fibrosing dermopathy) is very dangerous because it is a painful, debilitating, and sometimes deadly condition, with no cure, and no consistently successful treatment. "Once you have NSF/NFD it is almost impossible to get rid of, but it can be prevented. NSF/NFD is caused by gadolinium-based contrast agents used in MRI's (magnetic resonance imaging), and so far, has only been confirmed in people with kidney disease. The bottom line - if you have kidney disease or impaired renal function, avoid tests using gadolinium-based contrast agents if at all possible" (the Little-Known Debilitating and Deadly Danger of MRIs 2007). Therefore, people are becoming afflicted with an incurable, man-made disease that is related to a common medical procedure performed daily (Some Kidney Patients Suffer MRI Poisoning 2007).

Nephrogenic systemic fibrosis (NSF) is an emerging systemic disorder characterized by widespread tissue fibrosis. It is known to occur only in patients with renal disease. Unfortunately, NSF may develop rapidly and can sometimes result in patients becoming confined to a wheelchair. Furthermore, the skin thickening can be confused clinically with peripheral edema.

Pathophysiologically, NSF results in increased tissue deposition of collagen, commonly resulting in thickening and hardening of the skin of the extremities and often culminating in immobility and contractures of the joints. In some patients, there is clinical involvement of other tissues (lung, skeletal muscle, heart, diaphragm, esophagus, etc.), although the patient may not be clinically symptomatic (3). While NSF sometimes stabilizes, it rarely spontaneously rem
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its. No consistently effective therapy exists, although rapid correction in renal function (by medical or surgical means) generally results in a cessation of progression and often in a reversal of symptoms (Kuo, P., Kanal, E., Abu-Alfa, a., Cowper, S.). (Therefore, the symptoms are as follow, which could lead to death from a practice that is performed daily the Little-Known Debilitating and Deadly Danger of MRIs 2007).

Tightening and swelling of the skin, typically starting with the legs, moving to the arms, and sometimes the trunk

Thickening of the skin around the joints, restricting movement

Skin which feels "woody" and has a texture similar to that of an orange peel

Red or dark patches of skin

Burning, itching, and/or sharp pains in affected areas

Fluctuating hypertension preceding the appearance of skin lesions

Symmetrical skin lesions, commonly on the ankles and thighs and between the wrists and upper arms

Muscle weakness

Deep bone pain in the hips and ribs

Calcification of soft tissues

Yellow plaques near the eyes

Seventy-eight thousand three hundred fifty-three (65,009 adult and 13,344 pediatric) IV administrations of gadolinium-containing contrast material were performed during the study period. Acute allergic-like reactions were documented after 54 injections (reaction frequency, 0.07%). Forty-eight reactions involved adult patients (adult reaction frequency, 0.07%), and six reactions occurred in pediatric patients (pediatric reaction frequency, 0.04%). Forty (74%) acute allergic-like reactions were mild, 10 (19%) were moderate, and four (7%) were severe. No gadolinium-containing contrast material-related death occurred during the study period. Twenty-six (50%) of 52 patients had one or more presumed risk factors for contrast material reaction (Dillman, J., Ellis, J., Cohan, R., Strouse, P., Jan, S. 2007).

Patients with kidney disease have prolonged exposure to gadolinium in their tissues. Certain forms of gadolinium are bound by a linear chelate and have the potential to dissociate more readily, releasing the toxic ion. From there, all… READ MORE

Quoted Instructions for "Dangers of Gadolinium" Assignment:

Please provide a paper with the "Dangers of Gadolinium". Specifically, when injected for MR imaging. There have been specific dangers with injecting pregant women and for the most part, people who have kidney and renal failure. Injecting Gadolinium can cause patients to develop Neprhogenic systemic fibrosis (NSF).

Please do not use sources from lawsuits.

Here are a list of some sources:

Kuo, P., Kanal, E., Abu-Alfa, A., Cowper, S., Gadolinium-based MR Contrast Agents and Nephrogenic Systemic Fibrosis (February) Radiology. Accessed: Http://radiology.rsnajnls.org/cgil/content/full/242/3/647

Dillman, J., Ellis, J., Cohan, R., Strouse, P., Jan, S., Frequency and severity of acute allergic-like reactions to gadolinium-containing IV Contrast Media in Children and Adults (December) American Jouirnal of Roentgenology, 2007: 189: 1533-1538. Accessed: Http://www.ajronline.org/cgi/content/full

Busko, M., Study determines risk for Nephrogenic systemic fibrosis in ESRD patients receiving gadolinium (February) Medscape Medical News, 2007. Accessed: Http://www.medscape.com/view article/551819

Kanal, E., ACR Guidance document for safe MR practices: 2007 (December) American Journal of Radiology

Peck, P FDA Orders black box warning (May) Maryland: Med-Page Today, 2007 *****

How to Reference "Dangers of Gadolinium" Term Paper in a Bibliography

Dangers of Gadolinium.” A1-TermPaper.com, 2007, https://www.a1-termpaper.com/topics/essay/nsf-nfd-nephrogenic-systemic-fibrosis/990640. Accessed 5 Oct 2024.

Dangers of Gadolinium (2007). Retrieved from https://www.a1-termpaper.com/topics/essay/nsf-nfd-nephrogenic-systemic-fibrosis/990640
A1-TermPaper.com. (2007). Dangers of Gadolinium. [online] Available at: https://www.a1-termpaper.com/topics/essay/nsf-nfd-nephrogenic-systemic-fibrosis/990640 [Accessed 5 Oct, 2024].
”Dangers of Gadolinium” 2007. A1-TermPaper.com. https://www.a1-termpaper.com/topics/essay/nsf-nfd-nephrogenic-systemic-fibrosis/990640.
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[1] ”Dangers of Gadolinium”, A1-TermPaper.com, 2007. [Online]. Available: https://www.a1-termpaper.com/topics/essay/nsf-nfd-nephrogenic-systemic-fibrosis/990640. [Accessed: 5-Oct-2024].
1. Dangers of Gadolinium [Internet]. A1-TermPaper.com. 2007 [cited 5 October 2024]. Available from: https://www.a1-termpaper.com/topics/essay/nsf-nfd-nephrogenic-systemic-fibrosis/990640
1. Dangers of Gadolinium. A1-TermPaper.com. https://www.a1-termpaper.com/topics/essay/nsf-nfd-nephrogenic-systemic-fibrosis/990640. Published 2007. Accessed October 5, 2024.

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