Fibromyalgia associated with repeated gadolinium contrast-enhanced MRI examinations

We report a case of a fibromyalgia (FM) patient with an history of brain-cancer presenting signs and symptoms of gadolinium toxicity following repeated administrations of a macrocyclic contrast agent, Gadovist. In the present report, we provide evidence supporting the hypothesis of a causal relation...

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Main Authors: Silvia Maria Lattanzio, PhD, Francesca Imbesi, MD
Format: Article
Language:English
Published: Elsevier 2020-05-01
Series:Radiology Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043320300431
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author Silvia Maria Lattanzio, PhD
Francesca Imbesi, MD
author_facet Silvia Maria Lattanzio, PhD
Francesca Imbesi, MD
author_sort Silvia Maria Lattanzio, PhD
collection DOAJ
description We report a case of a fibromyalgia (FM) patient with an history of brain-cancer presenting signs and symptoms of gadolinium toxicity following repeated administrations of a macrocyclic contrast agent, Gadovist. In the present report, we provide evidence supporting the hypothesis of a causal relationship linking gadolinium deposition to a clinical manifestation of disease, namely fibromyalgia. We unravel a role for gadolinium in the still unknown etiology of fibromyalgia as a metal toxicity disorder. Contrast agents are routinely administered in a clinical context. It is thus possible that the patients are mistakenly believed to show complaint of their primary disease, whereas, in some instances, their symptoms are associated with gadolinium deposition. Keywords: Gadolinium deposition, Fibromyalgia syndrome, Chronic pain, Toxicity, Contrast agents, Magnetic resonance imaging
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spelling doaj.art-3f6fe915870d408a91aa9ed167619b852022-12-21T18:44:28ZengElsevierRadiology Case Reports1930-04332020-05-01155534541Fibromyalgia associated with repeated gadolinium contrast-enhanced MRI examinationsSilvia Maria Lattanzio, PhD0Francesca Imbesi, MD1Department of Biomedical Sciences, University of Padova, Via Marzolo 3, 35131, Padova, Italy; Corresponding author.Neurological Department, ASST Grande Ospedale Metropolitano Niguarda, Milano, ItalyWe report a case of a fibromyalgia (FM) patient with an history of brain-cancer presenting signs and symptoms of gadolinium toxicity following repeated administrations of a macrocyclic contrast agent, Gadovist. In the present report, we provide evidence supporting the hypothesis of a causal relationship linking gadolinium deposition to a clinical manifestation of disease, namely fibromyalgia. We unravel a role for gadolinium in the still unknown etiology of fibromyalgia as a metal toxicity disorder. Contrast agents are routinely administered in a clinical context. It is thus possible that the patients are mistakenly believed to show complaint of their primary disease, whereas, in some instances, their symptoms are associated with gadolinium deposition. Keywords: Gadolinium deposition, Fibromyalgia syndrome, Chronic pain, Toxicity, Contrast agents, Magnetic resonance imaginghttp://www.sciencedirect.com/science/article/pii/S1930043320300431
spellingShingle Silvia Maria Lattanzio, PhD
Francesca Imbesi, MD
Fibromyalgia associated with repeated gadolinium contrast-enhanced MRI examinations
Radiology Case Reports
title Fibromyalgia associated with repeated gadolinium contrast-enhanced MRI examinations
title_full Fibromyalgia associated with repeated gadolinium contrast-enhanced MRI examinations
title_fullStr Fibromyalgia associated with repeated gadolinium contrast-enhanced MRI examinations
title_full_unstemmed Fibromyalgia associated with repeated gadolinium contrast-enhanced MRI examinations
title_short Fibromyalgia associated with repeated gadolinium contrast-enhanced MRI examinations
title_sort fibromyalgia associated with repeated gadolinium contrast enhanced mri examinations
url http://www.sciencedirect.com/science/article/pii/S1930043320300431
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