Nephrogenic systemic fibrosis: a dermatologist's perspective.
Patients with nephrogenic systemic fibrosis may manifest a range of cutaneous lesions. The skin may be variably affected with subtle, superficial papules and plaques; deeper dermal or subcutaneous induration; or severe contractures of the joints. Recognition of the cutaneous manifestations of nephrogenic systemic fibrosis, and consideration of the differential diagnosis of such lesions, facilitates diagnostic confirmation and lends insight into the pathogenesis of this disorder by comparison with clinically similar conditions. This review considers the dermatologist's perspective on nephrogenic systemic fibrosis, including the variety of skin findings and the potential for treatment with extracorporeal photopheresis.
Girardi
Michael
M
Department of Dermatology, Yale University School of Medicine, New Haven, Connecticut 06520-8042, USA. girardi@yale.edu
D003287:Contrast Media / Q000009:adverse effects*; D003937:Diagnosis, Differential; D005355:Fibrosis / Q000139:chemically induced / Q000473:pathology; D005682:Gadolinium / Q000009:adverse effects*; D006801:Humans; D008279:Magnetic Resonance Imaging; D051437:Renal Insufficiency / Q000150:complications*; D012867:Skin / Q000187:drug effects / Q000473:pathology*; D012871:Skin Diseases / Q000139:chemically induced* / Q000473:pathology*
D003287:Contrast Media; D005682:Gadolinium