Scurvy in a hemodialysis patient. Rare or ignored?

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...

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Bibliographic Details
Published in:Hemodialysis international 2018-10, Vol.22 (S2), p.S83-S87
Main Authors: Panchal, Sarju, Schneider, Christine, Malhotra, Kunal
Format: Article
Language:English
Subjects:
ascorbic acid
hemodialysis
nutritional deficiency
scurvy
Vitamin C
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Summary: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.
ISSN:1492-7535
1542-4758
DOI:10.1111/hdi.12705