Thirty years survivor on hemodialysis: A case report

Triga, Konstantina; Dousdampanis, Periklis; Aggelakou-Vaitsi, S.; Gellner, Karen

doi:10.4103/1319-2442.139939

Cited by 2 publications

(3 citation statements)

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“…2. The treatment modified the clinical histories, and as a result of iatrogenesis or incomplete correction of uremia by dialysis, long-term survivors on dialysis presented with disease combinations that otherwise were exceptional [30][31][32][33].…”

Section: Disease Of the "Survivors": A Parallel To Dialysismentioning

confidence: 99%

Diabetic Kidney Disease: A Syndrome Rather Than a Single Disease

Piccoli¹,

Grassi²,

Cabiddu³

et al. 2015

Rev Diabet Stud

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The term "diabetic kidney" has recently been proposed to encompass the various lesions, involving all kidney structures that characterize protean kidney damage in patients with diabetes. While glomerular diseases may follow the stepwise progression that was described several decades ago, the tenet that proteinuria identifies diabetic nephropathy is disputed today and should be limited to glomerular lesions. Improvements in glycemic control may have contributed to a decrease in the prevalence of glomerular lesions, initially described as hallmarks of diabetic nephropathy, and revealed other types of renal damage, mainly related to vasculature and interstitium, and these types usually present with little or no proteinuria. Whilst glomerular damage is the hallmark of microvascular lesions, ischemic nephropathies, renal infarction, and cholesterol emboli syndrome are the result of macrovascular involvement, and the presence of underlying renal damage sets the stage for acute infections and drug-induced kidney injuries. Impairment of the phagocytic response can cause severe and unusual forms of acute and chronic pyelonephritis. It is thus concluded that screening for albuminuria, which is useful for detecting "glomerular diabetic nephropathy", does not identify all potential nephropathies in diabetes patients. As diabetes is a risk factor for all forms of kidney disease, diagnosis in diabetic patients should include the same combination of biochemical, clinical, and imaging tests as employed in non-diabetic subjects, but with the specific consideration that chronic kidney disease (CKD) may develop more rapidly and severely in diabetic patients.

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Section: Disease Of the "Survivors": A Parallel To Dialysismentioning

confidence: 99%

Diabetic Kidney Disease: A Syndrome Rather Than a Single Disease

Piccoli¹,

Grassi²,

Cabiddu³

et al. 2015

Rev Diabet Stud

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“…Hemodialysis techniques have improved remarkably and the survival rates of hemodialysis patients are increasing 1 . Moreover, long‐term survival does occur and several patients have been described as having survival periods of more than 30 years 2–5 …”

Section: Introductionmentioning

confidence: 99%

“… 1 Moreover, long‐term survival does occur and several patients have been described as having survival periods of more than 30 years. 2 , 3 , 4 , 5 …”

Section: Introductionmentioning

confidence: 99%

Clinical and dialysis‐related characteristics of extremely long‐term hemodialysis survivors: Three case reports

Vrecko

Ponikvar

Gubenšek

et al. 2021

Hemodialysis International

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More than 40‐year hemodialysis survivors are living evidence of the achievements of hemodialysis therapy. We present the case reports of three patients treated by chronic hemodialysis for 47 (Patient 1), 43 (Patient 2), and 42 years (Patient 3) from a single center. These patients possess characteristics that were already shown to be associated with improved long‐term survival: initiation of hemodialysis at a young age, absence of diabetes, and a relatively low and stable body weight with good nutritional status. Although all of them underwent complications of long‐term hemodialysis treatment, they lived (Patient 3), or are still living (Patients 1 and 2), an independent and full life. Their hemodialysis prescriptions included long sessions with a moderate blood flow rate, state‐of‐the‐art hemodialysis technology, vascular access surgeries and care provided by nephrologists, good overall management of chronic kidney disease, and preventive measures and/or immediate action in case of cardiovascular disease.

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Thirty years survivor on hemodialysis: A case report

Cited by 2 publications

References 0 publications

Diabetic Kidney Disease: A Syndrome Rather Than a Single Disease

Diabetic Kidney Disease: A Syndrome Rather Than a Single Disease

Clinical and dialysis‐related characteristics of extremely long‐term hemodialysis survivors: Three case reports

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