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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For The Soreness On The Leg Caused By Dialysis

A person I know has been on dialysis for some time. Recently a sore has formed on her leg which may have resulted from the dialysis. Her son was not sure of the name for the sore. He thought is was aphaleptic something. Would you be able to clarify the name? He said the maruka honey treatment had not been effective.
Mon, 7 Aug 2017
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Nephrologist,  's  Response
Dear Patient,

probably we are talking about calciphylaxis. This is very comment in those patients on dialysis with a poor control of calcium/phosphorus/PTH levels. Often is an indication of inadequate dialytic dose. In these cases, we increase the dialysis time or number of sessions, we control at best calcium, phosphorus, PTH and vitamin D. We make sure that vascular access is ok. However, we perform also a doppler of the affected limb in order to exclude chronic obliterating arteriopathy, which may give ulceration of the skin. In summary, lot of work to do. Let me know.
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Suggest Treatment For The Soreness On The Leg Caused By Dialysis

Dear Patient, probably we are talking about calciphylaxis. This is very comment in those patients on dialysis with a poor control of calcium/phosphorus/PTH levels. Often is an indication of inadequate dialytic dose. In these cases, we increase the dialysis time or number of sessions, we control at best calcium, phosphorus, PTH and vitamin D. We make sure that vascular access is ok. However, we perform also a doppler of the affected limb in order to exclude chronic obliterating arteriopathy, which may give ulceration of the skin. In summary, lot of work to do. Let me know.