Khurana A et al. - A case of a dialysis patient who developed NSF after exposure to gadodiamide and went on to have a successful pregnancy while on hemodialysis therapy. The patient had marked clinical and histological improvement in NSF during and after her pregnancy. This also correlated with decreasing gadolinium levels in skin biopsy tissue specimens. The interplay of factors involved in the successful pregnancy and improvement in NSF lesions in this patient is discussed.