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Volume 349:817-818 August 21, 2003 Number 8
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Severe Pseudohypocalcemia after Gadolinium-Enhanced Magnetic Resonance Angiography

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To the Editor: Magnetic resonance imaging is increasingly used to avoid the radiation used in computed tomographic scanning. Gadolinium contrast medium allows vascular imaging without the nephrotoxic effects associated with conventional contrast material.1

A 62-year-old man with suspected renal-artery stenosis underwent magnetic resonance angiography (MRA) after receiving 40 ml of gadolinium (Omniscan, Amersham Health). Analysis of a blood sample obtained immediately after the MRA study revealed a plasma calcium level of only 4.4 mg per deciliter (normal range, 8.8 to 10.6). Six hours later, his calcium level was 7.2 mg per deciliter. The patient had no symptoms, and Chvostek's and . . . [Full Text of this Article]


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More on Pseudohypocalcemia and Gadolinium-Enhanced MRI
Prince M. R., Choyke P. L., Knopp M. V., Doorenbos C. J., Koster K., van Wijnen M.
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N Engl J Med 2004; 350:87-88, Jan 1, 2004. Correspondence

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