Dialysis-associated amyloidosis

Ren Fail. 1993;15(3):349-51. doi: 10.3109/08860229309054943.

Abstract

Dialysis arthropathy (DA) and carpal tunnel syndrome are debilitating complications caused by dialysis-associated amyloidosis. They arise after several years of hemodialysis with cuprophane and their onset can be delayed with the use of high-flux dialysis. Serum C-reactive protein is elevated in patients with dialysis arthropathy, indicative of inflammatory processes. X-rays show periarticular bone cysts and erosive spondyloarthropathy. High-flux dialysis improves DA, but transplantation remains the best treatment.

Publication types

  • Review

MeSH terms

  • Amyloidosis / etiology*
  • Carpal Tunnel Syndrome / etiology*
  • Cellulose / analogs & derivatives
  • Humans
  • Joint Diseases / etiology*
  • Kidney Failure, Chronic / therapy
  • Membranes, Artificial
  • Peritoneal Dialysis, Continuous Ambulatory / adverse effects
  • Renal Dialysis / adverse effects*
  • beta 2-Microglobulin

Substances

  • Membranes, Artificial
  • beta 2-Microglobulin
  • Cellulose
  • cuprammonium cellulose