array:21 [
  "pii" => "X2013251414054456"
  "issn" => "20132514"
  "doi" => "10.3265/Nefrologia.pre2014.Apr.12466"
  "estado" => "S300"
  "fechaPublicacion" => "2014-09-01"
  "documento" => "article"
  "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
  "subdocumento" => "fla"
  "cita" => "Nefrologia (English Version). 2014;34:685-6"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 5502
    "formatos" => array:3 [
      "EPUB" => 317
      "HTML" => 4484
      "PDF" => 701
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:17 [
      "pii" => "X0211699514054459"
      "issn" => "02116995"
      "doi" => "10.3265/Nefrologia.pre2014.Apr.12466"
      "estado" => "S300"
      "fechaPublicacion" => "2014-09-01"
      "documento" => "article"
      "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
      "subdocumento" => "fla"
      "cita" => "Nefrologia. 2014;34:685-6"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 10751
        "formatos" => array:3 [
          "EPUB" => 331
          "HTML" => 9720
          "PDF" => 700
        ]
      ]
      "es" => array:10 [
        "idiomaDefecto" => true
        "titulo" => "La importancia del acceso vascular para hemodiálisis en la epidermólisis bullosa distrófica de Hallopeau-Siemens"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "685"
            "paginaFinal" => "686"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "The importance of vascular access for haemodialysis in Hallopeau-Siemens dystrophic epidermolysis bullosa"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:8 [
            "identificador" => "fig1"
            "etiqueta" => "Fig. 1"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "copyright" => "Elsevier España"
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "12466_19904_58289_es_12466_f1.jpg"
                "Alto" => 221
                "Ancho" => 687
                "Tamanyo" => 118064
              ]
            ]
            "descripcion" => array:1 [
              "es" => "Lesiones dermatológicas de epidermólisis bullosa que presentó a su ingreso la paciente con enfermedad renal crónica."
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Ramón Ruiz-Mejía"
            "autores" => array:1 [
              0 => array:2 [
                "nombre" => "Ramón"
                "apellidos" => "Ruiz-Mejía"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "X2013251414054456"
          "doi" => "10.3265/Nefrologia.pre2014.Apr.12466"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251414054456?idApp=UINPBA000064"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699514054459?idApp=UINPBA000064"
      "url" => "/02116995/0000003400000005/v0_201502091337/X0211699514054459/v0_201502091338/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:17 [
    "pii" => "X2013251414054448"
    "issn" => "20132514"
    "doi" => "10.3265/Nefrologia.pre2014.Apr.12386"
    "estado" => "S300"
    "fechaPublicacion" => "2014-09-01"
    "documento" => "article"
    "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
    "subdocumento" => "fla"
    "cita" => "Nefrologia (English Version). 2014;34:686-7"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 5510
      "formatos" => array:3 [
        "EPUB" => 349
        "HTML" => 4561
        "PDF" => 600
      ]
    ]
    "en" => array:9 [
      "idiomaDefecto" => true
      "titulo" => "Non-Hodgkin lymphoma mimicking peritonitis in a patient on peritoneal dialysis"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "686"
          "paginaFinal" => "687"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Linfoma no-Hodgkin simulando una peritonitis en un paciente en diálisis peritoneal"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Margarita Delgado-Córdova, Juan C. Peñaloza, Agustín Fuentes, Francisco Coronel"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Margarita"
              "apellidos" => "Delgado-Córdova"
            ]
            1 => array:2 [
              "nombre" => "Juan C."
              "apellidos" => "Peñaloza"
            ]
            2 => array:2 [
              "nombre" => "Agustín"
              "apellidos" => "Fuentes"
            ]
            3 => array:2 [
              "nombre" => "Francisco"
              "apellidos" => "Coronel"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "X0211699514054440"
        "doi" => "10.3265/Nefrologia.pre2014.Apr.12386"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699514054440?idApp=UINPBA000064"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251414054448?idApp=UINPBA000064"
    "url" => "/20132514/0000003400000005/v0_201502091605/X2013251414054448/v0_201502091606/en/main.assets"
  ]
  "itemAnterior" => array:17 [
    "pii" => "X2013251414054464"
    "issn" => "20132514"
    "doi" => "10.3265/Nefrologia.pre2014.Apr.12500"
    "estado" => "S300"
    "fechaPublicacion" => "2014-09-01"
    "documento" => "article"
    "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
    "subdocumento" => "fla"
    "cita" => "Nefrologia (English Version). 2014;34:683-5"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 6648
      "formatos" => array:3 [
        "EPUB" => 318
        "HTML" => 5690
        "PDF" => 640
      ]
    ]
    "en" => array:9 [
      "idiomaDefecto" => true
      "titulo" => "Non-infectious cloudy peritoneal fluid secondary to lercanidipine"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "683"
          "paginaFinal" => "685"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Líquido peritoneal turbio no infeccioso secundario a lercanidipino"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Mercedes Moreiras-Plaza, Francisco Fernández-Fleming, Isabel Martín-Báez, Raquel Blanco-García, Laura Beato-Coo"
          "autores" => array:5 [
            0 => array:2 [
              "nombre" => "Mercedes"
              "apellidos" => "Moreiras-Plaza"
            ]
            1 => array:2 [
              "nombre" => "Francisco"
              "apellidos" => "Fernández-Fleming"
            ]
            2 => array:2 [
              "nombre" => "Isabel"
              "apellidos" => "Martín-Báez"
            ]
            3 => array:2 [
              "nombre" => "Raquel"
              "apellidos" => "Blanco-García"
            ]
            4 => array:2 [
              "nombre" => "Laura"
              "apellidos" => "Beato-Coo"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "X0211699514054467"
        "doi" => "10.3265/Nefrologia.pre2014.Apr.12500"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699514054467?idApp=UINPBA000064"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251414054464?idApp=UINPBA000064"
    "url" => "/20132514/0000003400000005/v0_201502091605/X2013251414054464/v0_201502091606/en/main.assets"
  ]
  "en" => array:13 [
    "idiomaDefecto" => true
    "titulo" => "The importance of vascular access for haemodialysis in Hallopeau-Siemens dystrophic epidermolysis bullosa"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "685"
        "paginaFinal" => "686"
      ]
    ]
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => "Ramón Ruiz-Mejía"
        "autores" => array:1 [
          0 => array:4 [
            "nombre" => "Ramón"
            "apellidos" => "Ruiz-Mejía"
            "email" => array:1 [
              0 => "girugt@gmail.com"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:3 [
            "entidad" => " Servicio de Nefrología, Centro Médico Lic. Adolfo López Mateos, Toluca,  México, "
            "etiqueta" => "<span class="elsevierStyleSup">a</span>"
            "identificador" => "affa"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "La importancia del acceso vascular para hemodi&#225;lisis en la epiderm&#243;lisis bullosa distr&#243;fica de Hallopeau-Siemens"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:8 [
        "identificador" => "fig1"
        "etiqueta" => "Fig. 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "copyright" => "Elsevier Espa&#241;a"
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "12466_16025_61467_en_12466_pgina_1_imagen_0001.jpg"
            "Alto" => 447
            "Ancho" => 1398
            "Tamanyo" => 79398
          ]
        ]
        "descripcion" => array:1 [
          "en" => "Epidermolysis bullosa dermatological lesions seen on patient with chronic kidney disease on admittance&#46;"
        ]
      ]
    ]
    "textoCompleto" => "<p class="elsevierStylePara"><span class="elsevierStyleBold">To the Editor</span>&#44;</p><p class="elsevierStylePara">&#160;</p><p class="elsevierStylePara">Bullous or ampullary epidermolysis is defined<span class="elsevierStyleSup">1</span> as a group of rare inherited skin diseases characterised by a tendency of the skin and mucous membranes to separate from the underlying tissues after minimal trauma&#59; it is transmitted as both dominant and recessive factors and is caused by COL7A1<span class="elsevierStyleSup">2 </span>gene mutations&#58; The different varieties can be grouped into three main<span class="elsevierStyleSup">1&#44;3</span> types&#58; epidermolysis bullosa simplex of dominant autosomal inheritance&#44; junctional epidermolysis bullosa of autosomal recessive inheritance and dystrophic or dermolytic epidermolysis bullosa&#46; Furthermore&#44; the latter includes three forms&#58; dominant&#44; mild recessive&#44; and severe recessive or Hallopeau-Siemens&#46;</p><p class="elsevierStylePara">Hallopeau-Siemens dystrophic epidermolysis bullosa is the most widely severe form<span class="elsevierStyleSup">4&#44;5</span>&#46; It begins at birth with blistering of skin and mucous membranes&#46; Blisters and vesicles heal forming atrophic scars&#46; Extracutaneous<span class="elsevierStyleSup">4</span> manifestations include&#58; dystrophy or absence of nails&#44; sparse head hair or alopecia&#44; excessive dental caries&#44; microstomia&#44; mouth ulcers&#44; lingual tip fixation to the floor of the oral cavity&#44; pseudosyndactylia&#44; syndactylia and deformities of hands and feet&#46; Furthermore the surface epithelium of the respiratory tract&#44; gastrointestinal tract and ocular system are affected by blistering&#46; These patients usually suffer from anaemia&#44; malnutrition and stunting&#46; One of the major complications of the disease is the development of chronic terminal kidney disease<span class="elsevierStyleSup">3</span>&#44; which causes early death and with the main complication of establishing an appropriate access route for dialysis&#46;</p><p class="elsevierStylePara">&#160;</p><p class="elsevierStylePara">&#160;</p><p class="elsevierStylePara"><span class="elsevierStyleBold">CASE REPORT</span></p><p class="elsevierStylePara"><span class="elsevierStyleBold">&#160;</span></p><p class="elsevierStylePara"><span class="elsevierStyleBold">&#160;</span></p><p class="elsevierStylePara">A 31-year-old female patient was referred to dermatology for evaluation of renal function after having been diagnosed with epidermolysis bullosa at birth and dysphagia for solid food that did not require endoscopic treatment&#46; The endocrinology department ruled out associated hypothyroidism and suprarenal insufficiency&#46; No previous diagnosis of chronic kidney disease in the last year&#44; she was referred due to azotaemia&#46; On admission&#58; weight 45kg&#44; height 1&#46;55m&#44; cutaneous pallor &#43;&#44; partial alopecia&#44; a few scattered haematic crusts in the oral cavity&#44; microstomia with lingual fixation to floor of oral cavity&#44; generalised erythema&#44; dermabrasion areas with blistering that did not affect the cervical region&#44; deformities of both hands and bilateral scars and erythema &#40;Figure 1&#41;&#46;</p><p class="elsevierStylePara">Relevant laboratory abnormalities&#58; haemoglobin 9&#46;1g&#47;dl&#44; K 7&#46;2mmol&#47;l&#44; urea 345mg&#47;dl&#44; creatinine 9&#46;5 mg&#47;dl&#44; albumin 2g&#47;dl&#59; Urinalysis &#40;GUE&#41; urinary density &#40;UD&#41; 1009&#44; pH 5&#46;5&#44; proteins &#43;&#44; erythrocytes 150 cells&#47;ul&#59; arterial blood gases&#58; pH 7&#46;21&#44; PCO2 27&#44; PO2 92&#37;&#44; 92&#37; Sat&#44; HCO3 7&#46;6&#59; 24h proteinuria 1&#46;8g&#47;day&#59; urine volume&#58; 1500cc&#59; right kidney ultrasound 7&#46;5 x 2&#46;5cm and left kidney 7&#46;1 x 2&#46;6cm&#44; loss of corticomedullary ratio&#46; Electrocardiogram symmetrical peaked T waves and isolated PVCs in all precordial leads&#46; We decided to place an indwelling tunnelled catheter due to the increased risk of infection with the Tenckhoff catheter&#46;</p><p class="elsevierStylePara">&#160;</p><p class="elsevierStylePara">Subsequent to cardiac monitoring&#44; monitoring of non-invasive blood pressure and pulse oximetry&#44; intravenous sedation and analgesia was administered&#46; Right jugular region and the exit site were identified with minimal epithelial damage&#44; and the catheter was tunnelled placing a Permacath catheter&#44; its position was checked by means of a portable chest X-ray&#46; Adequate arterial and venous return was achieved&#44; and the skin &#40;Figure 2&#41; was sutured&#46; Haemodialysis was started with symptom remission&#44; patient was discharged due to clinical improvement and enrolled in the chronic haemodialysis programme&#46;</p><p class="elsevierStylePara">&#160;</p><p class="elsevierStylePara">&#160;</p><p class="elsevierStylePara"><span class="elsevierStyleBold">DISCUSSION </span></p><p class="elsevierStylePara">&#160;</p><p class="elsevierStylePara">&#160;</p><p class="elsevierStylePara">Epidermolysis bullosa is an autosomal recessive hereditary skin disease that involves all organs from birth&#46; Chronic kidney disease is the second leading cause of death<span class="elsevierStyleSup">3</span> in these patients after squamous cell carcinoma&#59; it is relevant to mention that many patients die due to associated dilated cardiomyopathy<span class="elsevierStyleSup">6</span>&#46; Kidney disease is usually due to the development of secondary amyloidosis&#44; IgA nephropathy&#44; post infectious glomerulonephritis&#44; and obstructive uropathy<span class="elsevierStyleSup">3&#44;7</span>&#46; Other factors contributing to the development of chronic kidney disease include&#58; dehydration&#44; dysphagia&#44; vomiting and hypoalbuminaemia<span class="elsevierStyleSup">8&#44;9</span>&#46;</p><p class="elsevierStylePara">&#160;</p><p class="elsevierStylePara">When developing chronic kidney disease&#44; access to dialysis therapy is considered a big issue&#46; Skin lesions and the tendency to become infected limit the use of peritoneal dialysis as an option&#46; Another limitation to performance of an arteriovenous fistula is the development of skin lesions and local contractions&#44; which prevent the placement of vascular catheters<span class="elsevierStyleSup">7</span>&#46; Therefore&#44; placement of a tunnelled haemodialysis catheter in a central vein is&#44; at present&#44; considered the best option<span class="elsevierStyleSup">10</span>&#46;</p><p class="elsevierStylePara">&#160;</p><p class="elsevierStylePara"><span class="elsevierStyleBold">Conflicts of interest </span></p><p class="elsevierStylePara"><span class="elsevierStyleBold">&#160;</span></p><p class="elsevierStylePara">The authors declare that they have no conflicts of interest related to the contents of this article&#46;</p><p class="elsevierStylePara"><a href="grande&#47;12466&#95;16025&#95;61467&#95;en&#95;12466&#95;pgina&#95;1&#95;imagen&#95;0001&#46;jpg" class="elsevierStyleCrossRefs"><img src="12466_16025_61467_en_12466_pgina_1_imagen_0001.jpg" alt="Epidermolysis bullosa dermatological lesions seen on patient with chronic kidney disease on admittance&#46;"></img></a></p><p class="elsevierStylePara">Figure 1&#46; Epidermolysis bullosa dermatological lesions seen on patient with chronic kidney disease on admittance&#46;</p><p class="elsevierStylePara"><a href="grande&#47;12466&#95;16025&#95;61468&#95;en&#95;12466&#95;pgina&#95;2&#95;imagen&#95;0001&#46;jpg" class="elsevierStyleCrossRefs"><img src="12466_16025_61468_en_12466_pgina_2_imagen_0001.jpg" alt="Permacath catheter permeability following corroborated procedure in urgent haemodialysis&#46; "></img></a></p><p class="elsevierStylePara">Figure 2&#46; Permacath catheter permeability following corroborated procedure in urgent haemodialysis&#46; </p>"
    "pdfFichero" => "P1-E574-S4714-A12466-EN.pdf"
    "tienePdf" => true
    "PalabrasClave" => array:1 [
      "en" => array:3 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec437666"
          "palabras" => array:1 [
            0 => "Haemodialysis"
          ]
        ]
        1 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec437668"
          "palabras" => array:1 [
            0 => "Epidermolysis bullosa"
          ]
        ]
        2 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec437670"
          "palabras" => array:1 [
            0 => "Chronic kidney disease"
          ]
        ]
      ]
    ]
    "multimedia" => array:2 [
      0 => array:8 [
        "identificador" => "fig1"
        "etiqueta" => "Fig. 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "copyright" => "Elsevier Espa&#241;a"
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "12466_16025_61467_en_12466_pgina_1_imagen_0001.jpg"
            "Alto" => 447
            "Ancho" => 1398
            "Tamanyo" => 79398
          ]
        ]
        "descripcion" => array:1 [
          "en" => "Epidermolysis bullosa dermatological lesions seen on patient with chronic kidney disease on admittance&#46;"
        ]
      ]
      1 => array:8 [
        "identificador" => "fig2"
        "etiqueta" => "Fig. 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "copyright" => "Elsevier Espa&#241;a"
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "12466_16025_61468_en_12466_pgina_2_imagen_0001.jpg"
            "Alto" => 499
            "Ancho" => 664
            "Tamanyo" => 40339
          ]
        ]
        "descripcion" => array:1 [
          "en" => "Permacath catheter permeability following corroborated procedure in urgent haemodialysis&#46;"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliography"
      "seccion" => array:1 [
        0 => array:1 [
          "bibliografiaReferencia" => array:10 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Fine JD, Eady RAJ, Bauer EA, Bauer JW, Bruckner-Tuderman L, Heagerty A, et al. The classification of inherited epidermolysis bullosa (EB): Report of the Third International Consensus Meeting on Diagnosis and Classification of EB. J Am Acad Dermatol 2008;58:931-50."
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Varki R, Sadowski S, Uitto J, Pfendner E. Epidermolysis bullosa. II. Type VII collagen mutations and phenotype/genotype correlations in the dystrophic subtypes. J Med Genet 2007;44:181-92. <a href="http://www.ncbi.nlm.nih.gov/pubmed/16971478" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Mann JF, Zeier M, Zilow E, Schärer K, Anton-Lamprecht I, Waldherr R, et al. The spectrum of renal involvement in epidermolysis bullosa dystrophica hereditaria: Report of two cases. Am J Kidney Dis 1988;11:437-41. <a href="http://www.ncbi.nlm.nih.gov/pubmed/3369444" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Fine JD, Mellerio JE. Extracutaneous manifestations and complications of inherited epidermolysis bullosa. Part I. Epithelial associated tissues. J Am Acad Dermatol 2009;61:367-84."
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Varki R, Sadowski S, Pfendner E, Uitto J. Epidermolysis bullosa. I. Molecular genetics of the junctional and hemidesmosomal variants. J Med Genet 2006;43:641-52. <a href="http://www.ncbi.nlm.nih.gov/pubmed/16473856" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Sidwell RV, Yates R, Atherton D. Dilated cardiomyopathy in dystrophic epidermolysis bullosa. Arch Dis Child 2000;83:59-63. <a href="http://www.ncbi.nlm.nih.gov/pubmed/10869001" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Baloch MS, Fitzwilliams B, Mellerio J, Lakasing L, Bewley S, O'Sullivan G. Anaesthestic management of two different modes of delivery in patients with dystrophic epidermolysis bullosa. Int J Obstet Anesth 2008;17:153-8. <a href="http://www.ncbi.nlm.nih.gov/pubmed/18308542" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Kawasaki Y, Isome M, Takano K, Suyama K, Imaizumi T, Matsuura H, et al. IgA nephropathy in a patient with dominant dystrophic epidermolysis bullosa. Tohoku J Exp Med 2008;214:297-301. <a href="http://www.ncbi.nlm.nih.gov/pubmed/18441504" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Farhi D, Ingen-Housz-Oro S, Ducret F, Rioux-Leclercq N, Cam G, Simon P, et al. Recessive dystrophic epidermolysis bullosa (Hallopeau-Siemens) with IgA nephropathy: 4 cases. Ann Dermatol Venereol 2004;131:963-7. <a href="http://www.ncbi.nlm.nih.gov/pubmed/15602383" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:1 [
                        "itemHostRev" => array:3 [
                          "pii" => "S1525861013005070"
                          "estado" => "S300"
                          "issn" => "15258610"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Tammaro F, Calabrese R, Aceto G, Lospalluti L, Garofalo L, Bonifazi E, et al. End-stage renal disease secondary to IgA nephropathy in recessive dystrophic epidermolysis bullosa: A case report. Pediatr Nephrol 2008;23:141-4. <a href="http://www.ncbi.nlm.nih.gov/pubmed/17955267" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:1 [
                        "itemHostRev" => array:3 [
                          "pii" => "S1525861013002570"
                          "estado" => "S300"
                          "issn" => "15258610"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/20132514/0000003400000005/v0_201502091605/X2013251414054456/v0_201502091606/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "35437"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Letters to the Editor - Brief Case Reports"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/20132514/0000003400000005/v0_201502091605/X2013251414054456/v0_201502091606/en/P1-E574-S4714-A12466-EN.pdf?idApp=UINPBA000064&text.app=https://revistanefrologia.com/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251414054456?idApp=UINPBA000064"
]
Share
Journal Information

Statistics

Follow this link to access the full text of the article

The importance of vascular access for haemodialysis in Hallopeau-Siemens dystrophic epidermolysis bullosa
La importancia del acceso vascular para hemodiálisis en la epidermólisis bullosa distrófica de Hallopeau-Siemens
Ramón Ruiz-Mejíaa
a Servicio de Nefrología, Centro Médico Lic. Adolfo López Mateos, Toluca, México,
Read
9663
Times
was read the article
2455
Total PDF
7208
Total HTML
Share statistics
 array:21 [
  "pii" => "X2013251414054456"
  "issn" => "20132514"
  "doi" => "10.3265/Nefrologia.pre2014.Apr.12466"
  "estado" => "S300"
  "fechaPublicacion" => "2014-09-01"
  "documento" => "article"
  "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
  "subdocumento" => "fla"
  "cita" => "Nefrologia &#40;English Version&#41;. 2014;34:685-6"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 5502
    "formatos" => array:3 [
      "EPUB" => 317
      "HTML" => 4484
      "PDF" => 701
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:17 [
      "pii" => "X0211699514054459"
      "issn" => "02116995"
      "doi" => "10.3265/Nefrologia.pre2014.Apr.12466"
      "estado" => "S300"
      "fechaPublicacion" => "2014-09-01"
      "documento" => "article"
      "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
      "subdocumento" => "fla"
      "cita" => "Nefrologia. 2014;34:685-6"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 10751
        "formatos" => array:3 [
          "EPUB" => 331
          "HTML" => 9720
          "PDF" => 700
        ]
      ]
      "es" => array:10 [
        "idiomaDefecto" => true
        "titulo" => "La importancia del acceso vascular para hemodi&#225;lisis en la epiderm&#243;lisis bullosa distr&#243;fica de Hallopeau-Siemens"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "685"
            "paginaFinal" => "686"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "The importance of vascular access for haemodialysis in Hallopeau-Siemens dystrophic epidermolysis bullosa"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:8 [
            "identificador" => "fig1"
            "etiqueta" => "Fig. 1"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "copyright" => "Elsevier Espa&#241;a"
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "12466_19904_58289_es_12466_f1.jpg"
                "Alto" => 221
                "Ancho" => 687
                "Tamanyo" => 118064
              ]
            ]
            "descripcion" => array:1 [
              "es" => "Lesiones dermatol&#243;gicas de epiderm&#243;lisis bullosa que present&#243; a su ingreso la paciente con enfermedad renal cr&#243;nica&#46;"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Ram&#243;n Ruiz-Mej&#237;a"
            "autores" => array:1 [
              0 => array:2 [
                "nombre" => "Ram&#243;n"
                "apellidos" => "Ruiz-Mej&#237;a"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "X2013251414054456"
          "doi" => "10.3265/Nefrologia.pre2014.Apr.12466"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251414054456?idApp=UINPBA000064"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699514054459?idApp=UINPBA000064"
      "url" => "/02116995/0000003400000005/v0_201502091337/X0211699514054459/v0_201502091338/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:17 [
    "pii" => "X2013251414054448"
    "issn" => "20132514"
    "doi" => "10.3265/Nefrologia.pre2014.Apr.12386"
    "estado" => "S300"
    "fechaPublicacion" => "2014-09-01"
    "documento" => "article"
    "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
    "subdocumento" => "fla"
    "cita" => "Nefrologia &#40;English Version&#41;. 2014;34:686-7"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 5510
      "formatos" => array:3 [
        "EPUB" => 349
        "HTML" => 4561
        "PDF" => 600
      ]
    ]
    "en" => array:9 [
      "idiomaDefecto" => true
      "titulo" => "Non-Hodgkin lymphoma mimicking peritonitis in a patient on peritoneal dialysis"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "686"
          "paginaFinal" => "687"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Linfoma no-Hodgkin simulando una peritonitis en un paciente en di&#225;lisis peritoneal"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Margarita Delgado-C&#243;rdova, Juan C&#46; Pe&#241;aloza, Agust&#237;n Fuentes, Francisco Coronel"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Margarita"
              "apellidos" => "Delgado-C&#243;rdova"
            ]
            1 => array:2 [
              "nombre" => "Juan C&#46;"
              "apellidos" => "Pe&#241;aloza"
            ]
            2 => array:2 [
              "nombre" => "Agust&#237;n"
              "apellidos" => "Fuentes"
            ]
            3 => array:2 [
              "nombre" => "Francisco"
              "apellidos" => "Coronel"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "X0211699514054440"
        "doi" => "10.3265/Nefrologia.pre2014.Apr.12386"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699514054440?idApp=UINPBA000064"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251414054448?idApp=UINPBA000064"
    "url" => "/20132514/0000003400000005/v0_201502091605/X2013251414054448/v0_201502091606/en/main.assets"
  ]
  "itemAnterior" => array:17 [
    "pii" => "X2013251414054464"
    "issn" => "20132514"
    "doi" => "10.3265/Nefrologia.pre2014.Apr.12500"
    "estado" => "S300"
    "fechaPublicacion" => "2014-09-01"
    "documento" => "article"
    "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
    "subdocumento" => "fla"
    "cita" => "Nefrologia &#40;English Version&#41;. 2014;34:683-5"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 6648
      "formatos" => array:3 [
        "EPUB" => 318
        "HTML" => 5690
        "PDF" => 640
      ]
    ]
    "en" => array:9 [
      "idiomaDefecto" => true
      "titulo" => "Non-infectious cloudy peritoneal fluid secondary to lercanidipine"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "683"
          "paginaFinal" => "685"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "L&#237;quido peritoneal turbio no infeccioso secundario a lercanidipino"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Mercedes Moreiras-Plaza, Francisco Fern&#225;ndez-Fleming, Isabel Mart&#237;n-B&#225;ez, Raquel Blanco-Garc&#237;a, Laura Beato-Coo"
          "autores" => array:5 [
            0 => array:2 [
              "nombre" => "Mercedes"
              "apellidos" => "Moreiras-Plaza"
            ]
            1 => array:2 [
              "nombre" => "Francisco"
              "apellidos" => "Fern&#225;ndez-Fleming"
            ]
            2 => array:2 [
              "nombre" => "Isabel"
              "apellidos" => "Mart&#237;n-B&#225;ez"
            ]
            3 => array:2 [
              "nombre" => "Raquel"
              "apellidos" => "Blanco-Garc&#237;a"
            ]
            4 => array:2 [
              "nombre" => "Laura"
              "apellidos" => "Beato-Coo"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "X0211699514054467"
        "doi" => "10.3265/Nefrologia.pre2014.Apr.12500"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699514054467?idApp=UINPBA000064"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251414054464?idApp=UINPBA000064"
    "url" => "/20132514/0000003400000005/v0_201502091605/X2013251414054464/v0_201502091606/en/main.assets"
  ]
  "en" => array:13 [
    "idiomaDefecto" => true
    "titulo" => "The importance of vascular access for haemodialysis in Hallopeau-Siemens dystrophic epidermolysis bullosa"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "685"
        "paginaFinal" => "686"
      ]
    ]
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => "Ram&#243;n Ruiz-Mej&#237;a"
        "autores" => array:1 [
          0 => array:4 [
            "nombre" => "Ram&#243;n"
            "apellidos" => "Ruiz-Mej&#237;a"
            "email" => array:1 [
              0 => "girugt&#64;gmail&#46;com"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:3 [
            "entidad" => " Servicio de Nefrología, Centro Médico Lic. Adolfo López Mateos, Toluca,  México, "
            "etiqueta" => "<span class="elsevierStyleSup">a</span>"
            "identificador" => "affa"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "La importancia del acceso vascular para hemodi&#225;lisis en la epiderm&#243;lisis bullosa distr&#243;fica de Hallopeau-Siemens"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:8 [
        "identificador" => "fig1"
        "etiqueta" => "Fig. 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "copyright" => "Elsevier Espa&#241;a"
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "12466_16025_61467_en_12466_pgina_1_imagen_0001.jpg"
            "Alto" => 447
            "Ancho" => 1398
            "Tamanyo" => 79398
          ]
        ]
        "descripcion" => array:1 [
          "en" => "Epidermolysis bullosa dermatological lesions seen on patient with chronic kidney disease on admittance&#46;"
        ]
      ]
    ]
    "textoCompleto" => "<p class="elsevierStylePara"><span class="elsevierStyleBold">To the Editor</span>&#44;</p><p class="elsevierStylePara">&#160;</p><p class="elsevierStylePara">Bullous or ampullary epidermolysis is defined<span class="elsevierStyleSup">1</span> as a group of rare inherited skin diseases characterised by a tendency of the skin and mucous membranes to separate from the underlying tissues after minimal trauma&#59; it is transmitted as both dominant and recessive factors and is caused by COL7A1<span class="elsevierStyleSup">2 </span>gene mutations&#58; The different varieties can be grouped into three main<span class="elsevierStyleSup">1&#44;3</span> types&#58; epidermolysis bullosa simplex of dominant autosomal inheritance&#44; junctional epidermolysis bullosa of autosomal recessive inheritance and dystrophic or dermolytic epidermolysis bullosa&#46; Furthermore&#44; the latter includes three forms&#58; dominant&#44; mild recessive&#44; and severe recessive or Hallopeau-Siemens&#46;</p><p class="elsevierStylePara">Hallopeau-Siemens dystrophic epidermolysis bullosa is the most widely severe form<span class="elsevierStyleSup">4&#44;5</span>&#46; It begins at birth with blistering of skin and mucous membranes&#46; Blisters and vesicles heal forming atrophic scars&#46; Extracutaneous<span class="elsevierStyleSup">4</span> manifestations include&#58; dystrophy or absence of nails&#44; sparse head hair or alopecia&#44; excessive dental caries&#44; microstomia&#44; mouth ulcers&#44; lingual tip fixation to the floor of the oral cavity&#44; pseudosyndactylia&#44; syndactylia and deformities of hands and feet&#46; Furthermore the surface epithelium of the respiratory tract&#44; gastrointestinal tract and ocular system are affected by blistering&#46; These patients usually suffer from anaemia&#44; malnutrition and stunting&#46; One of the major complications of the disease is the development of chronic terminal kidney disease<span class="elsevierStyleSup">3</span>&#44; which causes early death and with the main complication of establishing an appropriate access route for dialysis&#46;</p><p class="elsevierStylePara">&#160;</p><p class="elsevierStylePara">&#160;</p><p class="elsevierStylePara"><span class="elsevierStyleBold">CASE REPORT</span></p><p class="elsevierStylePara"><span class="elsevierStyleBold">&#160;</span></p><p class="elsevierStylePara"><span class="elsevierStyleBold">&#160;</span></p><p class="elsevierStylePara">A 31-year-old female patient was referred to dermatology for evaluation of renal function after having been diagnosed with epidermolysis bullosa at birth and dysphagia for solid food that did not require endoscopic treatment&#46; The endocrinology department ruled out associated hypothyroidism and suprarenal insufficiency&#46; No previous diagnosis of chronic kidney disease in the last year&#44; she was referred due to azotaemia&#46; On admission&#58; weight 45kg&#44; height 1&#46;55m&#44; cutaneous pallor &#43;&#44; partial alopecia&#44; a few scattered haematic crusts in the oral cavity&#44; microstomia with lingual fixation to floor of oral cavity&#44; generalised erythema&#44; dermabrasion areas with blistering that did not affect the cervical region&#44; deformities of both hands and bilateral scars and erythema &#40;Figure 1&#41;&#46;</p><p class="elsevierStylePara">Relevant laboratory abnormalities&#58; haemoglobin 9&#46;1g&#47;dl&#44; K 7&#46;2mmol&#47;l&#44; urea 345mg&#47;dl&#44; creatinine 9&#46;5 mg&#47;dl&#44; albumin 2g&#47;dl&#59; Urinalysis &#40;GUE&#41; urinary density &#40;UD&#41; 1009&#44; pH 5&#46;5&#44; proteins &#43;&#44; erythrocytes 150 cells&#47;ul&#59; arterial blood gases&#58; pH 7&#46;21&#44; PCO2 27&#44; PO2 92&#37;&#44; 92&#37; Sat&#44; HCO3 7&#46;6&#59; 24h proteinuria 1&#46;8g&#47;day&#59; urine volume&#58; 1500cc&#59; right kidney ultrasound 7&#46;5 x 2&#46;5cm and left kidney 7&#46;1 x 2&#46;6cm&#44; loss of corticomedullary ratio&#46; Electrocardiogram symmetrical peaked T waves and isolated PVCs in all precordial leads&#46; We decided to place an indwelling tunnelled catheter due to the increased risk of infection with the Tenckhoff catheter&#46;</p><p class="elsevierStylePara">&#160;</p><p class="elsevierStylePara">Subsequent to cardiac monitoring&#44; monitoring of non-invasive blood pressure and pulse oximetry&#44; intravenous sedation and analgesia was administered&#46; Right jugular region and the exit site were identified with minimal epithelial damage&#44; and the catheter was tunnelled placing a Permacath catheter&#44; its position was checked by means of a portable chest X-ray&#46; Adequate arterial and venous return was achieved&#44; and the skin &#40;Figure 2&#41; was sutured&#46; Haemodialysis was started with symptom remission&#44; patient was discharged due to clinical improvement and enrolled in the chronic haemodialysis programme&#46;</p><p class="elsevierStylePara">&#160;</p><p class="elsevierStylePara">&#160;</p><p class="elsevierStylePara"><span class="elsevierStyleBold">DISCUSSION </span></p><p class="elsevierStylePara">&#160;</p><p class="elsevierStylePara">&#160;</p><p class="elsevierStylePara">Epidermolysis bullosa is an autosomal recessive hereditary skin disease that involves all organs from birth&#46; Chronic kidney disease is the second leading cause of death<span class="elsevierStyleSup">3</span> in these patients after squamous cell carcinoma&#59; it is relevant to mention that many patients die due to associated dilated cardiomyopathy<span class="elsevierStyleSup">6</span>&#46; Kidney disease is usually due to the development of secondary amyloidosis&#44; IgA nephropathy&#44; post infectious glomerulonephritis&#44; and obstructive uropathy<span class="elsevierStyleSup">3&#44;7</span>&#46; Other factors contributing to the development of chronic kidney disease include&#58; dehydration&#44; dysphagia&#44; vomiting and hypoalbuminaemia<span class="elsevierStyleSup">8&#44;9</span>&#46;</p><p class="elsevierStylePara">&#160;</p><p class="elsevierStylePara">When developing chronic kidney disease&#44; access to dialysis therapy is considered a big issue&#46; Skin lesions and the tendency to become infected limit the use of peritoneal dialysis as an option&#46; Another limitation to performance of an arteriovenous fistula is the development of skin lesions and local contractions&#44; which prevent the placement of vascular catheters<span class="elsevierStyleSup">7</span>&#46; Therefore&#44; placement of a tunnelled haemodialysis catheter in a central vein is&#44; at present&#44; considered the best option<span class="elsevierStyleSup">10</span>&#46;</p><p class="elsevierStylePara">&#160;</p><p class="elsevierStylePara"><span class="elsevierStyleBold">Conflicts of interest </span></p><p class="elsevierStylePara"><span class="elsevierStyleBold">&#160;</span></p><p class="elsevierStylePara">The authors declare that they have no conflicts of interest related to the contents of this article&#46;</p><p class="elsevierStylePara"><a href="grande&#47;12466&#95;16025&#95;61467&#95;en&#95;12466&#95;pgina&#95;1&#95;imagen&#95;0001&#46;jpg" class="elsevierStyleCrossRefs"><img src="12466_16025_61467_en_12466_pgina_1_imagen_0001.jpg" alt="Epidermolysis bullosa dermatological lesions seen on patient with chronic kidney disease on admittance&#46;"></img></a></p><p class="elsevierStylePara">Figure 1&#46; Epidermolysis bullosa dermatological lesions seen on patient with chronic kidney disease on admittance&#46;</p><p class="elsevierStylePara"><a href="grande&#47;12466&#95;16025&#95;61468&#95;en&#95;12466&#95;pgina&#95;2&#95;imagen&#95;0001&#46;jpg" class="elsevierStyleCrossRefs"><img src="12466_16025_61468_en_12466_pgina_2_imagen_0001.jpg" alt="Permacath catheter permeability following corroborated procedure in urgent haemodialysis&#46; "></img></a></p><p class="elsevierStylePara">Figure 2&#46; Permacath catheter permeability following corroborated procedure in urgent haemodialysis&#46; </p>"
    "pdfFichero" => "P1-E574-S4714-A12466-EN.pdf"
    "tienePdf" => true
    "PalabrasClave" => array:1 [
      "en" => array:3 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec437666"
          "palabras" => array:1 [
            0 => "Haemodialysis"
          ]
        ]
        1 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec437668"
          "palabras" => array:1 [
            0 => "Epidermolysis bullosa"
          ]
        ]
        2 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec437670"
          "palabras" => array:1 [
            0 => "Chronic kidney disease"
          ]
        ]
      ]
    ]
    "multimedia" => array:2 [
      0 => array:8 [
        "identificador" => "fig1"
        "etiqueta" => "Fig. 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "copyright" => "Elsevier Espa&#241;a"
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "12466_16025_61467_en_12466_pgina_1_imagen_0001.jpg"
            "Alto" => 447
            "Ancho" => 1398
            "Tamanyo" => 79398
          ]
        ]
        "descripcion" => array:1 [
          "en" => "Epidermolysis bullosa dermatological lesions seen on patient with chronic kidney disease on admittance&#46;"
        ]
      ]
      1 => array:8 [
        "identificador" => "fig2"
        "etiqueta" => "Fig. 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "copyright" => "Elsevier Espa&#241;a"
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "12466_16025_61468_en_12466_pgina_2_imagen_0001.jpg"
            "Alto" => 499
            "Ancho" => 664
            "Tamanyo" => 40339
          ]
        ]
        "descripcion" => array:1 [
          "en" => "Permacath catheter permeability following corroborated procedure in urgent haemodialysis&#46;"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliography"
      "seccion" => array:1 [
        0 => array:1 [
          "bibliografiaReferencia" => array:10 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Fine JD, Eady RAJ, Bauer EA, Bauer JW, Bruckner-Tuderman L, Heagerty A, et al. The classification of inherited epidermolysis bullosa (EB): Report of the Third International Consensus Meeting on Diagnosis and Classification of EB. J Am Acad Dermatol 2008;58:931-50."
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Varki R, Sadowski S, Uitto J, Pfendner E. Epidermolysis bullosa. II. Type VII collagen mutations and phenotype/genotype correlations in the dystrophic subtypes. J Med Genet 2007;44:181-92. <a href="http://www.ncbi.nlm.nih.gov/pubmed/16971478" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Mann JF, Zeier M, Zilow E, Schärer K, Anton-Lamprecht I, Waldherr R, et al. The spectrum of renal involvement in epidermolysis bullosa dystrophica hereditaria: Report of two cases. Am J Kidney Dis 1988;11:437-41. <a href="http://www.ncbi.nlm.nih.gov/pubmed/3369444" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Fine JD, Mellerio JE. Extracutaneous manifestations and complications of inherited epidermolysis bullosa. Part I. Epithelial associated tissues. J Am Acad Dermatol 2009;61:367-84."
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Varki R, Sadowski S, Pfendner E, Uitto J. Epidermolysis bullosa. I. Molecular genetics of the junctional and hemidesmosomal variants. J Med Genet 2006;43:641-52. <a href="http://www.ncbi.nlm.nih.gov/pubmed/16473856" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Sidwell RV, Yates R, Atherton D. Dilated cardiomyopathy in dystrophic epidermolysis bullosa. Arch Dis Child 2000;83:59-63. <a href="http://www.ncbi.nlm.nih.gov/pubmed/10869001" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Baloch MS, Fitzwilliams B, Mellerio J, Lakasing L, Bewley S, O'Sullivan G. Anaesthestic management of two different modes of delivery in patients with dystrophic epidermolysis bullosa. Int J Obstet Anesth 2008;17:153-8. <a href="http://www.ncbi.nlm.nih.gov/pubmed/18308542" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Kawasaki Y, Isome M, Takano K, Suyama K, Imaizumi T, Matsuura H, et al. IgA nephropathy in a patient with dominant dystrophic epidermolysis bullosa. Tohoku J Exp Med 2008;214:297-301. <a href="http://www.ncbi.nlm.nih.gov/pubmed/18441504" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Farhi D, Ingen-Housz-Oro S, Ducret F, Rioux-Leclercq N, Cam G, Simon P, et al. Recessive dystrophic epidermolysis bullosa (Hallopeau-Siemens) with IgA nephropathy: 4 cases. Ann Dermatol Venereol 2004;131:963-7. <a href="http://www.ncbi.nlm.nih.gov/pubmed/15602383" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:1 [
                        "itemHostRev" => array:3 [
                          "pii" => "S1525861013005070"
                          "estado" => "S300"
                          "issn" => "15258610"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Tammaro F, Calabrese R, Aceto G, Lospalluti L, Garofalo L, Bonifazi E, et al. End-stage renal disease secondary to IgA nephropathy in recessive dystrophic epidermolysis bullosa: A case report. Pediatr Nephrol 2008;23:141-4. <a href="http://www.ncbi.nlm.nih.gov/pubmed/17955267" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:1 [
                        "itemHostRev" => array:3 [
                          "pii" => "S1525861013002570"
                          "estado" => "S300"
                          "issn" => "15258610"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/20132514/0000003400000005/v0_201502091605/X2013251414054456/v0_201502091606/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "35437"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Letters to the Editor - Brief Case Reports"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/20132514/0000003400000005/v0_201502091605/X2013251414054456/v0_201502091606/en/P1-E574-S4714-A12466-EN.pdf?idApp=UINPBA000064&text.app=https://revistanefrologia.com/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251414054456?idApp=UINPBA000064"
]
Article information
ISSN: 20132514
Original language: English
The statistics are updated each day
Year/Month Html Pdf Total
2024 November 4 3 7
2024 October 45 34 79
2024 September 65 22 87
2024 August 61 65 126
2024 July 56 29 85
2024 June 58 67 125
2024 May 80 40 120
2024 April 78 31 109
2024 March 41 21 62
2024 February 42 35 77
2024 January 44 35 79
2023 December 18 19 37
2023 November 63 34 97
2023 October 46 29 75
2023 September 27 32 59
2023 August 40 18 58
2023 July 34 27 61
2023 June 44 17 61
2023 May 45 33 78
2023 April 20 17 37
2023 March 45 20 65
2023 February 30 22 52
2023 January 32 21 53
2022 December 66 30 96
2022 November 50 30 80
2022 October 60 33 93
2022 September 49 31 80
2022 August 63 47 110
2022 July 35 41 76
2022 June 42 31 73
2022 May 37 53 90
2022 April 44 49 93
2022 March 47 46 93
2022 February 40 45 85
2022 January 47 31 78
2021 December 61 45 106
2021 November 60 47 107
2021 October 53 49 102
2021 September 60 33 93
2021 August 54 39 93
2021 July 70 40 110
2021 June 49 26 75
2021 May 53 41 94
2021 April 112 82 194
2021 March 62 36 98
2021 February 71 22 93
2021 January 57 21 78
2020 December 34 17 51
2020 November 39 15 54
2020 October 24 16 40
2020 September 26 8 34
2020 August 34 18 52
2020 July 40 6 46
2020 June 36 10 46
2020 May 46 14 60
2020 April 27 11 38
2020 March 47 14 61
2020 February 36 14 50
2020 January 53 19 72
2019 December 50 28 78
2019 November 45 26 71
2019 October 32 14 46
2019 September 40 15 55
2019 August 28 13 41
2019 July 47 23 70
2019 June 41 17 58
2019 May 31 14 45
2019 April 80 41 121
2019 March 64 25 89
2019 February 24 15 39
2019 January 46 17 63
2018 December 87 38 125
2018 November 73 13 86
2018 October 72 11 83
2018 September 92 11 103
2018 August 59 16 75
2018 July 52 9 61
2018 June 51 16 67
2018 May 66 11 77
2018 April 61 11 72
2018 March 65 13 78
2018 February 50 5 55
2018 January 64 8 72
2017 December 62 8 70
2017 November 63 9 72
2017 October 54 8 62
2017 September 46 10 56
2017 August 51 13 64
2017 July 46 11 57
2017 June 38 12 50
2017 May 54 31 85
2017 April 49 34 83
2017 March 25 25 50
2017 February 53 20 73
2017 January 39 22 61
2016 December 64 13 77
2016 November 77 14 91
2016 October 139 11 150
2016 September 189 2 191
2016 August 210 9 219
2016 July 235 12 247
2016 June 150 0 150
2016 May 174 0 174
2016 April 134 0 134
2016 March 109 0 109
2016 February 142 0 142
2016 January 128 0 128
2015 December 120 0 120
2015 November 101 0 101
2015 October 117 0 117
2015 September 91 0 91
2015 August 88 0 88
2015 July 98 0 98
2015 June 56 0 56
2015 May 76 0 76
2015 April 8 0 8
Show all

Follow this link to access the full text of the article

Idiomas
Nefrología (English Edition)
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?