Presentation of an incident with primary systemic AL - amyloidosis, stabilized hemodynamically with Nocturnal hemodialysis (Nocturnal Hemodialysis - NHD).
H Night dialysis at home, allowing a significant reduction in the ultrafiltration rate, leading to better tolerability while contributing to a better outcome, with increased urea clearance, better control of phosphate levels without using fosforodesmeftikon and the normalization of blood pressure despite the discontinuation of all antihypertensive agents.

This option could be taken into account in the management of patients with end stage renal disease and AL - amyloidosis.

 

Konstantina Trigas MD, Pericles Douzdampanis MD, Christopher Chan MD, FRCPC, Prof. Dimitrios G. Oreopoulos

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