Two patients with scleroderma (systemic sclerosis) and complicating end-stage renal disease were treated with continuous ambulatory peritoneal dialysis. In each case a satisfactory quality of life was maintained for 18 and six months with steady state control of uremia and hypertension.
Get full access to this article
View all access options for this article.
References
1.
RodnanG.P., SchreinerG.E., BlackR.L.Renal involvement in progressive systemic sclerosis (generalized scleroderma).Am I Med1957; 23: 445–462.
MedsgerT.A., MasiA.T., Rodnan GP BenedekT.G., RobinsonH.Survival with systemic sclerosis (scleroderma). A life-table analysis of clinical and demographic factors in 309 patients.Ann Int Med1971: 75: 369–376.
4.
MerinoG.E., SutherlandD.E.R., KjelIstrandC.M., SimmonsR.L., NajarianI.S.Renal transplantation for progressive systemic sclerosis.Am I Surg1977; 133: 745–749.
5.
OreopoulosD.G., ZellermanG., IzattS.The Toronto Western Hospital permanent peritoneal catheter and continuous ambulatory peritoneal dialysis connector. In: LegrainM. ed. Continuous ambulatory peritoneal dialysis: Proceedings of an intemational symposium.Amsterdam: Excerpta Medica, 1979: 78–8.
6.
VidtD.G.Renal changes in progressive systemic sclerosis.Cleveland Clinical Quarterly1971; 38: 141.
7.
NilsenK.H.Systemic sclerosis and the kidney. Euro I Rheumatol Inflammation.Symposium on connective tissue disease and the kidney1979; 3: 116–119.
8.
Lopez-OvejeroI.A., SaalS.D., D'AngeloWAReversal of vascular and renal crises of scleroderma by oral angiotensin -converting enzyme blockade.N Engl I Med1979; 30: 1417–1419.
9.
WasnerC., CookeC.R., FriesI.F.Successful medical management of renal failure in scleroderma.N Engl I Med1978; 29: 873–875.
10.
SteenV., MedsgerT.A., OsialTAJr.Factors predicting the development of renal involvement in progressive systemic sclerosis (PSS) (abstract).Arthritis Rheum1981; 24: S84.
11.
RichardsonI.A.Hemodialysis and kidney transplantation for renal failure from scleroderma.Arthritis Rheum1973; 16: 265–271.
12.
NolphK.D., StoltzM.L., MaherI.F.Altered peritoneal permeability in patients with systemic vasculitis.Ann Int Med1971; 75: 753–755.
13.
RobsonM., OreopoulosD.G.Dialysis in scleroderma.Ann Intern Med1978; 88: 843.
14.
BarkerDl, FarrM.I.Resolution of cutaneous manifestations of systemic sclerosis after hemodialysis.Br Med I1976; 1: 501.
15.
DauP.C., KahalehM.B., SagebielR.W.Plasmaphoresis and immunosuppressive drug therapy in slceroderma.Arthritis Rheum1981; 24: 1128–1136.