title: Acral gangrene attributed to calcific azotaemic arteriopathy and the steal effect of an arteriovenous fistula.
abstract: We describe a young male non-smoker who developed acral gangrene within 4 months of commencing haemodialysis. Amputation of the left hand proximal to the wrist was ultimately required. The onset of peripheral gangrene in this dialysis patient is attributed to calcific azotaemic arteriopathy and the steal effect of an arteriovenous fistula.
authors.affiliation: University Department of Medicine, Ninewells Hospital and Medical School, Dundee, UK.
authors.forename: R A
authors.initials: RA
authors.lastname: Mactier
authors.forename: W K
authors.initials: WK
authors.lastname: Stewart
authors.forename: D M
authors.initials: DM
authors.lastname: Parham
authors.forename: J A
authors.initials: JA
authors.lastname: Tainsh
mesh_terms: D000328:Adult; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects*; D002114:Calcinosis / Q000150:complications*; D005734:Gangrene / Q000209:etiology*; D006225:Hand / Q000098:blood supply*; D006801:Humans; D007511:Ischemia / Q000150:complications* / Q000209:etiology; D008297:Male; D006435:Renal Dialysis; D014511:Uremia / Q000150:complications*