A 55 year old male with end stage renal disease presents with thickening and induration of the skin that began on the lower extremities and spread to the trunk and upper extremities. He had an MR angiography performed approximately 14 days prior. What is the likely culprit and diagnosis?
Gadolinium-containing contrast triggering nephrogenic fibrosing dermopathy. In this reported case series, 5 of 9 end stage renal disease patients developed nephrogenic fibrosing dermopathy about 2-4 weeks after receiving gadolinium-containing contrast for MR angiography.
Grobner T. Gadolinium – a specific trigger for the development of nephrogenic fibrosing dermopathy and nephrogenic systemic fibrosis? Nephrology Dialysis Transplantation, Volume 21, Issue 4, April 2006, Pages 1104–1108, https://doi.org/10.1093/ndt/gfk062