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Thirty-seven uninterrupted years of hemodialysis: a case report
1Division of Nephrology, University of South Florida College of Medicine, Tampa, Florida, USA. srifkin@health.usf.edu
Abstract:
A patient is presented who was on uninterrupted hemodialysis for 37 years. She did extremely well for much of her time on hemodialysis. Significant issues that occurred included multiple vascular access problems, cardiac arrhythmias, osteodystrophy resulting in a fracture of her femur after light trauma, the incidental finding of a renal cell carcinoma, and the development of hepatitis C positivity. The literature of extremely long-lived patients on uninterrupted hemodialysis is reviewed, and the clinical characteristics and complications of these patients are discussed.
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Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...