Peritoneal dialysis is the major renal replacement therapy for children with end-stage renal disease, with hemodialysis used for a substantial number of pediatric patients. Reduction of morbidity and mortality is a major goal with the use of these modalities. Adequacy of dialysis and maintenance of peritoneal membrane function are important considerations for children on long term dialysis. Bot...

INTRODUCTION Nephrolithiasis still remains a too frequent and underappreciated cause of end stage renal disease (ESRD). METHODS AND PATIENTS Of the entire cohort of 7128 consecutive patients who started maintenance dialysis in our nephrology department between January 1992 and December 2006, a total of 45 patients (26 women, 19 men) had renal stone disease as the cause of ESRD. The type of ne...

In 1969, McCully reported an association between homocystinuria, a rare metabolic disorder characterized by high blood levels ( 100 mol/L) of the amino acid homocysteine (Hcy), and severe atherosclerosis among postmortem subjects.1 His report is widely recognized as the basis for the “homocysteine hypothesis,” namely, that elevated blood Hcy is a risk factor for cardiovascular disease (CVD). Si...