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Nephrol Dial Transplant (2001) 16: 1083-1084
© 2001 European Renal Association-European Dialysis and Transplant Association

Letters

Waldenström's macroglobulinaemia and acute renal failure: isoosmolal non-ionic contrast medium is not an absolute contraindication

Roberto Scarpioni1, Luciano Cristinelli1, Pietro Quaretti2, Davide Imberti3 and Pietro Cavallotti3

1 Department of Nephrology and Dialysis 2 Department of Radiology 3 Department of Internal Medicine III, Piacenza AUSL Hospital, Piacenza, Italy

Sir,

We read with interest the paper of Wong et al. [1] about acute tubular necrosis in Waldenström's macroglobulinaemia (WM) with hyperviscosity syndrome. We would like to point to another aspect of acute renal failure (ARF) and WM namely the use of contrast media (CM). The use of contrast media is reported to confer a high risk to the renal survival of patients with paraproteinaemias, especially when associated with renal failure. However, in the literature there is no report on the use of low osmolality contrast media (LOCM) in patients with WM and renal failure.

Case.

A 70-year-old man was admitted for . . . [Full Text of this Article]

Comment.

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