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3054131 
Journal Article 
Review 
Nephrogenic systemic fibrosis: a systemic fibrosing disease resulting from gadolinium exposure 
Bernstein, EJ; Schmidt-Lauber, C; Kay, J 
2012 
Yes 
Best Practice & Research Clinical Rheumatology
ISSN: 1521-6942
EISSN: 1532-1770 
26 
489-503 
English 
Nephrogenic systemic fibrosis (NSF) is an iatrogenic fibrosing disorder that primarily affects individuals with chronic kidney disease (CKD) following exposure to gadolinium-based contrast agents (GBCAs) during imaging procedures. NSF is characterised by skin thickening, tethering and hyperpigmentation; flexion contractures of joints; and extracutaneous fibrosis. This article reviews the history, clinical manifestations, epidemiology, histopathology and pathophysiology of this disabling disease.