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Renal Transplantation Reversed Intractable Hypotension in a Diabetic Patient

  1. Chiao-Yin Sun, MD and
  2. Mai-Szu Wu, MD
  1. From the Division of Nephrology, School of Medicine, Chang Gung University, Chang Gung Memorial Hospital, Keelung, Taiwan
  1. Address correspondence to Mai-Szu Wu, MD, Division of Nephrology, Chang Gung Memorial Hospital 222, Mai-Chin Road, Keelung, Taiwan. E-mail: maxwu1{at}adm.cgmh.org.tw

A small fraction of hemodialysis patients have chronic hypotension (1). Autonomic dysfunction, a product of diabetes and uremia, may be the most important cause that contributes to hypotension in dialysis patients (1). Unfortunately, there is no specific or effective therapy for them.

A 59-year-old female with hypertension and type 2 diabetes for >16 years received hemodialysis treatment 6 years ago, due to diabetic nephropathy. Chronic hypotension (80–100/50–60 …

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