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REPLY

Erythropoietin, Gadolinium, and Nephrogenic Fibrosing Dermopathy

right arrow Nelson Leung, MD; Sundararaman Swaminathan, MBBS; Iftikhar Ahmed, MD; James T. McCarthy, MD; Robert C. Albright, DO; Mark R. Pittelkow, MD; Noel M. Caplice, MD, PhD; and Matthew D. Griffin, MB BCh

6 February 2007 | Volume 146 Issue 3 | Page 230


IN RESPONSE:

We appreciate Dr. Hellman's interest and comments. We, too, have noted that nearly half of our patients with nephrogenic fibrosing dermopathy had gadolinium exposure before the development of their disease. However, a similar number of our 50 dialysis patients were also exposed to gadolinium—some exposed on several occasions—without any evidence of the condition. This seems to support our hypothesis that multiple factors are involved in the pathogenesis of nephrogenic fibrosing dermopathy. We are currently investigating the possible interaction between gadolinium and erythropoietin in this disease.


Author and Article Information
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From Mayo Clinic College of Medicine, Rochester, Minnesota.

Potential Financial Conflicts of Interest: None disclosed.

 

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Related articles in Annals:

Letters
Nephrogenic Fibrosing Dermopathy and High-Dose Erythropoietin Therapy
Sundararaman Swaminathan, Iftikhar Ahmed, James T. McCarthy, Robert C. Albright, Mark R. Pittelkow, Noel M. Caplice, Matthew D. Griffin, AND Nelson Leung
Annals 2006 145: 234-235. [Full Text]  

Letters
Erythropoietin, Gadolinium, and Nephrogenic Fibrosing Dermopathy
Richard N. Hellman
Annals 2007 146: 229-230. [Full Text]  



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