Self-reported gadolinium toxicity: A survey of patients with chronic symptoms

被引:83
作者
Burke, Lauren M. B. [1 ]
Ramalho, Miguel [1 ]
AlObaidy, Mamdoh [1 ]
Chang, Emily [2 ]
Jay, Michael [3 ]
Semelka, Richard C. [1 ]
机构
[1] Univ N Carolina, Dept Radiol, CB 7510, Chapel Hill, NC 27514 USA
[2] Univ N Carolina, Div Nephrol, Dept Med, Chapel Hill, NC 27514 USA
[3] Univ N Carolina, Dept Pharm, Chapel Hill, NC 27514 USA
关键词
Gadolinium; Toxicity; Symptoms; Chronic; Survey; NEPHROGENIC SYSTEMIC FIBROSIS; CONTRAST AGENTS; DENTATE NUCLEUS; SIGNAL INTENSITY; GLOBUS-PALLIDUS; GADODIAMIDE; IMAGES;
D O I
10.1016/j.mri.2016.05.005
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
100231 [临床病理学]; 100902 [航空航天医学];
摘要
Purpose: This study aims to describe the self-reporting symptoms experienced by individuals with self-reported normal renal function after gadolinium based contrast agent (GBCA) administration. Materials and methods: This HIPAA-compliant, IRB-approved study consisted of an anonymous online survey of patients who believe that they suffer from gadolinium toxicity. 50 respondents completed the nine-question survey. Results: Fifty (100%) of the subjects ascribed their complaints to gadolinium exposure. Thirty-three (66%) described the onset immediately following GBCA administration and 16 (32%) within 6 weeks. The most common symptoms included bone/joint pain and head/neck symptoms including headache, vision change, and hearing change (77.6% each). Other symptoms occurred with lesser incidence. Conclusions: This survey represents an initial description of patients with normal renal function who self-described toxicity related to GBCA administration. Bone and joint complaints and skin changes are two of the most common complaints. (C) 2016 Elsevier Inc. All rights reserved.
引用
收藏
页码:1078 / 1080
页数:3
相关论文
共 13 条
[1]
Incorporation of excess gadolinium into human bone from medical contrast agents [J].
Darrah, Thomas H. ;
Prutsman-Pfeiffer, Jennifer J. ;
Poreda, Robert J. ;
Campbell, M. Ellen ;
Hauschka, Peter V. ;
Hannigan, Robyn E. .
METALLOMICS, 2009, 1 (06) :479-488
[2]
Progressive Increase of T1 Signal Intensity of the Dentate Nucleus on Unenhanced Magnetic Resonance Images Is Associated With Cumulative Doses of Intravenously Administered Gadodiamide in Patients With Normal Renal Function, Suggesting Dechelation [J].
Errante, Yuri ;
Cirimele, Vincenzo ;
Mallio, Carlo Augusto ;
Di Lazzaro, Vincenzo ;
Zobel, Bruno Beomonte ;
Quattrocchi, Carlo Cosimo .
INVESTIGATIVE RADIOLOGY, 2014, 49 (10) :685-690
[3]
Stability of Gadolinium-Based Magnetic Resonance Imaging Contrast Agents in Human Serum at 37°C [J].
Frenzel, Thomas ;
Lengsfeld, Philipp ;
Schirmer, Heiko ;
Huetter, Joachim ;
Weinmann, Hanns-Joachim .
INVESTIGATIVE RADIOLOGY, 2008, 43 (12) :817-828
[4]
Gadolinium-Associated Plaques A New, Distinctive Clinical Entity [J].
Gathings, Robert M. ;
Reddy, Raveena ;
Santa Cruz, Daniel ;
Brodell, Robert T. .
JAMA DERMATOLOGY, 2015, 151 (03) :316-319
[5]
High Signal Intensity in the Dentate Nucleus and Globus Pallidus on Unenhanced T1-weighted MR Images: Relationship with Increasing Cumulative Dose of a Gadolinium-based Contrast Material [J].
Kanda, Tomonori ;
Ishii, Kazunari ;
Kawaguchi, Hiroki ;
Kitajima, Kazuhiro ;
Takenaka, Daisuke .
RADIOLOGY, 2014, 270 (03) :834-841
[6]
Gadolinium-based MR contrast agents and nephrogenic systemic fibrosis [J].
Kuo, Phillip H. ;
Kanal, Emanuel ;
Abu-Alfa, Ali K. ;
Cowper, Shawn E. .
RADIOLOGY, 2007, 242 (03) :647-649
[7]
Nephrogenic systemic fibrosis: Suspected causative role of gadodiamide used for contrast-enhanced magnetic resonance imaging [J].
Marckmann, Peter ;
Skov, Lone ;
Rossen, Kristian ;
Dupont, Anders ;
Damholt, Mette Brimnes ;
Heaf, James Goya ;
Thomsen, Henrik S. .
JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY, 2006, 17 (09) :2359-2362
[8]
Intracranial Gadolinium Deposition after Contrast-enhanced MR Imaging [J].
McDonald, Robert J. ;
McDonald, Jennifer S. ;
Kallmes, David F. ;
Jentoft, Mark E. ;
Murray, David L. ;
Thielen, Kent R. ;
Williamson, Eric E. ;
Eckel, Laurence J. .
RADIOLOGY, 2015, 275 (03) :772-782
[9]
Incidence of Immediate Gadolinium Contrast Media Reactions [J].
Prince, Martin R. ;
Zhang, Honglei ;
Zou, Zhitong ;
Staron, Ronald B. ;
Brill, Paula W. .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2011, 196 (02) :W138-W143
[10]
Gadolinium Retention in the Dentate Nucleus and Globus Pallidus Is Dependent on the Class of Contrast Agent [J].
Radbruch, Alexander ;
Weberling, Lukas D. ;
Kieslich, Pascal J. ;
Eidel, Oliver ;
Burth, Sina ;
Kickingereder, Philipp ;
Heiland, Sabine ;
Wick, Wolfgang ;
Schlemmer, Heinz-Peter ;
Bendszus, Martin .
RADIOLOGY, 2015, 275 (03) :783-791