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Author Topic: High Phosphorus  (Read 13574 times)
Nancy
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One of many caregivers to my Dad.

« on: November 17, 2010, 08:37:16 AM »

My dad has been on dialysis since May 2010. Has anyone heard of skin infection type lesions related to high phosphorus? We thought it was shingles but it's not. Good grief this is bad, their everywhere and they itch. He's on phosphorus pills. I would like to know if anyone has ever seen this before. Thanks
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Nancy
Henry P Snicklesnorter
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« Reply #1 on: November 17, 2010, 09:42:03 AM »

.
« Last Edit: October 23, 2013, 07:01:23 AM by Henry P Snicklesnorter » Logged
greg10
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« Reply #2 on: November 17, 2010, 09:50:45 AM »

Welcome to the forum Nancy.  Yes, itching and skin lesions can be very common with renal diseases.  It is most likely the combination of elevated calcium and phosphorus levels from kidney failure and insufficient dialysis.  You may need to reduce your phosphate and calcium intake, increase phosphorus binders and/or calcium mimetics (such as sensipar) to reduce both calcium and phosphorus.  Longer and slower dialysis treatment such as nocturnal hemodialysis can also reduce phosphorus levels.  There are other causes of itching, please consult your nephrologist.

"Calcium phosphate: The balance of calcium and phosphate is ruined in kidney
disease. Your phosphorus gets higher because your kidneys can't get rid of it.
When calcium and phosphate combine, they form crystals that deposit in your skin.
This irritates your nerves and causes itching."

http://www.nwkidney.org/kidneyInformation/basics/Itching.pdf
« Last Edit: November 18, 2010, 12:06:23 PM by greg10 » Logged

Newbie caretaker, so I may not know what I am talking about :)
Caretaker for my elderly father who has his first and current graft in March, 2010.
Previously in-center hemodialysis in national chain, now doing NxStage home dialysis training.
End of September 2010: after twelve days of training, we were asked to start dialyzing on our own at home, reluctantly, we agreed.
If you are on HD, did you know that Rapid fluid removal (UF = ultrafiltration) during dialysis is associated with cardiovascular morbidity?  http://ihatedialysis.com/forum/index.php?topic=20596
We follow a modified version: UF limit = (weight in kg)  *  10 ml/kg/hr * (130 - age)/100

How do you know you are getting sufficient hemodialysis?  Know your HDP!  Scribner, B. H. and D. G. Oreopoulos (2002). "The Hemodialysis Product (HDP): A Better Index of Dialysis Adequacy than Kt/V." Dialysis & Transplantation 31(1).   http://www.therenalnetwork.org/qi/resources/HDP.pdf
Nancy
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« Reply #3 on: November 18, 2010, 11:42:28 AM »

Thank you, that helped.
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Nancy
babycake
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« Reply #4 on: February 16, 2011, 07:35:56 PM »

nancy
that is pretty common
for my phosphorus level
has gone up and down
where i can tell the difference when im itiching and thats
when i know my level is high
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