Scurvy in a hemodialysis patient. Rare or ignored?

Abstract

Chronic kidney disease and dialysis brings with it a plethora of complications, including malnutrition. Strict dietary restrictions in hemodialysis (HD) patients further complicate the picture as it increases the risk of deficiency of micronutrients, specifically water-soluble vitamins. Today, there is a lack of concrete guidelines concerning recommendations on vitamin supplementation in HD patients. This lack of data is partly due to our incomplete understanding of handling of vitamins in a uremic state. There is a dire need for more data on the impact of dialysis and uremic state on water-soluble vitamins to facilitate appropriate preventative supplementation. We present a case of scurvy in a HD patient that will contribute toward the understanding of vitamin status in HD. We hope it will aid in screening HD patients for vitamin C deficiency and individualizing supplementation of vitamin C.

• Authors: Sarju Panchal, Christine Schneider, Kunal Malhotra
• Journal: Hemodialysis international. International Symposium on Home Hemodialysis (Hemodial Int) Vol. 22 Issue S2 Pg. S83-S87 (10 2018) ISSN: 1542-4758 [Electronic] Canada
• PMID: 30411462 (Publication Type: Case Reports)
• Copyright: © 2018 International Society for Hemodialysis.

Chemical References

• Ascorbic Acid

Topics

• Adult
• Ascorbic Acid (administration & dosage)
• Humans
• Male
• Renal Dialysis (adverse effects)
• Renal Insufficiency, Chronic (complications)
• Scurvy (etiology)