Healing of diabetes and vascular ulcers on switching from peritoneal dialysis to hemodialysis.
Vascular complications are the main problem in diabetic patients and can be worsened by continuous ambulatorial peritoneal dialysis (CAPD). A 46-year old woman with a family history of diabetes progressively developed hyperglycemia and subsequently lower limb ulcers after beginning CAPD. Hypertonic bags were required to control fluid balance. On account of the severe and painful ulcers, the patient was changed to hemodialysis. Within a few weeks her diabetes improved and the vascular ulcers healed completely.
Division of Nephrology and Dialysis, IRCCS Maggiore Hospital, Milano, Italy.
P
P
Colucci
S
S
Finazzi
A
A
Scalamogna
A F
AF
De Vecchi
D003920:Diabetes Mellitus / Q000503:physiopathology*; D005260:Female; D006801:Humans; D007871:Leg Ulcer / Q000503:physiopathology*; D008875:Middle Aged; D010531:Peritoneal Dialysis, Continuous Ambulatory; D006435:Renal Dialysis; D014945:Wound Healing