Skin inflammatory (nontumor)
Dermal collagen and elastic tissue alterations, and cutaneous deposits
Nephrogenic systemic fibrosis

Topic Completed: 1 March 2016

Minor changes: 29 March 2019

Copyright: 2002-2019,, Inc.

PubMed Search: Nephrogenic systemic fibrosis

Nat Pernick, M.D.
Page views in 2019: 221
Page views in 2020 to date: 122
Cite this page: Pernick N Nephrogenic systemic fibrosis. website. Accessed May 27th, 2020.
Definition / general
Clinical images

Contributed by Joel Pinczewski, M.D., Ph.D.

The 53 year old woman in this photograph had end stage renal failure
and underwent a gadolinium enhanced MRI; several years later she developed
indurated and hyperpigmented skin lesions on her lower legs.

Microscopic (histologic) description
  • Elastic fibers:
    • Known as sclerotic bodies or “elastocollagenous balls”
    • Originally thought to be pathognomonic of nephrogenic systemic fibrosis, but subsequently described in other lesions in patients exposed to gadolinium
Microscopic (histologic) images

Contributed by Joel Pinczewski, M.D., Ph.D.

The H&E stained section reveals increased dermal mucin,
spindled fibroblasts and nodules of collagen containing entrapped elastic fibers

Back to top