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Biomedical subjects

R Winney

Publications and source records attributed to R Winney.

8 recordsLinked to original sources
PubMed2004

Fatal calcific uraemic arteriolopathy (CUA): a case report and review of the literature.

Calciphylaxis, now better known as Calcific uraemic arteriolopathy (CUA), is an uncommon condition characterised by small vessel calcification and occlusion with resultant painful violaceous skin lesions that typically ulcerate to form non-healing gangrenous ulcers. The syndrome is usually found in patients with renal failure. In this report we describe a 61 year old lady who developed lower limb ulceration secondary to calciphylaxis and discuss the current treatment options for this serious condition.

Calcinosis↗
PubMed1993

Renal medicine.

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Family Practice↗
PubMed1975

Autonomic function in patients with chronic renal failure on intermittent haemodialysis.

The cardiovascular responses to the Valsalva manoeuvre and sustained handgrip were measured in 26 patients with chronic renal failure treated with intermittent haemodialysis. Twelve (50%) had an abnormal Valsalva response and ten (45%) had an abnormal handgrip response. There was a reduction in the beat-to-beat variation of heart rate at rest in those patients who had abnormal Valsalva manoeuvres, independent of age or the resting heart rate. It is concluded that autonomic nerve fibres may be damaged in patients with chronic renal failure on intermittent haemodialysis in the absence of symptoms of autonomic neuropathy. These studies suggest three simple ways of testing autonomic function in haemodialysis patients which could routinely be performed to detect patients at risk of developing an abnormal reaction to volume depletion during haemodialysis.

Adult↗
PubMedDate not supplied

The reality game.

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Adult↗