[Generalized scleroderma and angioaccesses for hemodialysis]

Considering the manifold difficulties present in renal insufficiency: economical as much as those created by reinterventions in order to keep the angioacceses viable, the use of Quinton's double lumen catheter is proposed in generalized scleroderma, obliteration of several angioaccesses, absence of distal bed in left upper limb, and dry skin in a patient with chronic renal insufficiency.