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Nephrogenic Systemic Fibrosis - Essay Example

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Although a relatively new disease, with no reported cases prior to early 1997 (Cowper, 2007), nephrogenic systemic fibrosis (hereinafter NSF) has posed a number of challenges for scholars and health care professionals in terms of identifying the population at risk with precision; recently, however, "There is growing recognition of the association between the use of gadolinium-containing radio contrast agents for magnetic resonance imaging and the serious dermal and systemic disease nephrogenic fibrosing dermopathy/nephrogenic systemic fibrosis" (Abraham et al, 2007)…
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Nephrogenic Systemic Fibrosis

Download file to see previous pages... The populations most at risk are those suffering from acute or chronic severe renal insufficiency, from acute renal insufficiency of any severity due to the hepato-renal syndrome, and those patients in the peri-operative liver transplantation period. For all of these patients it is recommended that health care professionals simply avoid the use of GBCA; the only exception being when it is determined that the diagnostic information to be obtained is absolutely necessary and unavailable through the use of non-contrast enhanced magnetic resonance imaging.
In addition, as a precautionary measure, it is recommended that health care professionals conduct a screening for all patients for a renal dysfunction by either obtaining a history or carrying out laboratory tests. These screening measures are fundamentally precautionary, however, because "the risk, if any, for developing NSF among patients with mild to moderate renal insufficiency or normal renal function is unknown" (Gadolinium-Based Contrast Agents, 2007). ...Download file to see next pagesRead More
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