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- W2236409377 abstract "Dr. Sarah Pricharda: The case is that ofa42-year-old insulin-dependent diabetic who has been diabetic since 1961, at which time he was age 10. He developed endstage renal disease in 1987 and started continuous ambulatory peritoneal dialysis ( CAPD ). About 6 months after starting CAPD he received a cadaver transplant which functioned poorly, and after 4 months of transplantation was returned to hemodialysis. In the early months after starting hemodialysis he started to develop gangrene ofhis fingers and several toes. This was not related to the fistula hand only. He was then restarted on CAPD because of his poor tolerance of hemodialysis. Later in that year he required multiple finger amputations and bilateral below knee amputations. Be tween 1989 and 1991 the patient remained stable on CAPD. He was rehabilitated with bilateral below knee prostheses, went back to work, and functioned extremely well. The new set of problems, which are those for discussion today, started in 1992. In January of that year he started to complain of painful fingers and again required more amputations. He developed a small stump ulcer on one ofhis legs. In April he had rapid breakdown of his stump on the right side. He underwent femoral popliteal bypass. He noticed that on the left lower limb stump he was starting to drain large amounts of white fluid. Repeated cultures were negative, and analysis of" @default.
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- W2236409377 date "1995-07-01" @default.
- W2236409377 modified "2023-09-23" @default.
- W2236409377 title "A usual peritoneal dialysis patient with an unusual skin disease." @default.
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