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Penile gangrene in a patient with diabetic nephropathy on continuous ambulatory peritoneal dialysis
S Hatama1, M Nakamoto, A Imamura
1Kidney Center, Saiseikai Yahata General Hospital, Kitakyushu, Japan.
Nihon Jinzo Gakkai Shi
|September 1, 1991
Abstract:
We report here a case of penile gangrene in a patient with diabetic nephropathy treated by continuous ambulatory peritoneal dialysis (CAPD). The patient demonstrated severe systemic arteriosclerosis. The main cause of the gangrene was considered to be circulatory insufficiency induced by severe arteriosclerosis. Several predisposing factors including chronic renal failure, long-term diabetes mellitus and CAPD-related metabolic changes such as abnormalities of lipid metabolism also appeared to have contributed to the arteriosclerotic changes. The prognosis in cases of this type is thought to be extremely poor.