A hemodialysis patient with difficulty ambulating: Answers

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Fig. 1


  1. 1.

    Callaghan BC, Price RS, Feldman EL (2015) Distal symmetric polyneuropathy: a review. JAMA 314:2172–2181

    CAS  Article  Google Scholar 

  2. 2.

    Krishnan AV, Kiernan MC (2009) Neurological complications of chronic kidney disease. Nat Rev Neurol 5:542–551

    CAS  Article  Google Scholar 

  3. 3.

    Ho DT, Rodig NM, Kim HB, Lidov HG, Shapiro FD, Raju GP, Kang PB (2012) Rapid reversal of uremic neuropathy following renal transplantation in an adolescent. Pediatr Transplant 16:E296–E300

    Article  Google Scholar 

  4. 4.

    Bolton CF, Baltzan MA, Baltzan RB (1971) Effects of renal transplantation on uremic neuropathy. A clinical and electrophysiologic study. N Engl J Med 284:1170–1175

    CAS  Article  Google Scholar 

  5. 5.

    Malinowski SS (2006) Nutritional and metabolic complications of bariatric surgery. Am J Med Sci 331:219–225

    Article  Google Scholar 

  6. 6.

    Joyce T, Court Brown F, Wallace D, Reid CJD, Sinha MD (2018) Trace element and vitamin concentrations in paediatric dialysis patients. Pediatr Nephrol 33:159–165

    Article  Google Scholar 

  7. 7.

    Whitfield KC, Bourassa MW, Adamolekun B, Bergeron G, Bettendorff L, Brown KH, Cox L, Fattal-Valevski A, Fischer PR, Frank EL, Hiffler L, Hlaing LM, Jefferds ME, Kapner H, Kounnavong S, Mousavi MPS, Roth DE, Tsaloglou MN, Wieringa F, Combs GF (2018) Thiamine deficiency disorders: diagnosis, prevalence, and a roadmap for global control programs. Ann N Y Acad Sci 1430:3–43

    Article  Google Scholar 

  8. 8.

    Kim CS, Bae EH, Ma SK, Kim SW (2016) The Case | Seizure, ophthalmoplegia, and amnesia in a peritoneal dialysis patient. Kidney Int 90:1389–1390

    Article  Google Scholar 

  9. 9.

    Kittanamongkolchai W, Leeaphorn N, Srivali N, Cheungpasitporn W (2013) Beriberi in a dialysis patient: do we need more thiamine? Am J Emerg Med 31:753

    Article  Google Scholar 

  10. 10.

    Hung SC, Hung SH, Tarng DC, Yang WC, Chen TW, Huang TP (2001) Thiamine deficiency and unexplained encephalopathy in hemodialysis and peritoneal dialysis patients. Am J Kidney Dis 38:941–947

    CAS  Article  Google Scholar 

  11. 11.

    Oudman E, Wijnia JW, van Dam M, Biter LU, Postma A (2018) Preventing Wernicke encephalopathy after bariatric surgery. Obes Surg 28:2060–2068

    Article  Google Scholar 

  12. 12.

    Armstrong-Javors A, Pratt J, Kharasch S (2016) Wernicke encephalopathy in adolescents after bariatric surgery: case report and review. Pediatrics 138:e20161039

    Article  Google Scholar 

  13. 13.

    Stroh C, Meyer F, Manger T (2014) Beriberi, a severe complication after metabolic surgery - review of the literature. Obes Facts 7:246–252

    Article  Google Scholar 

  14. 14.

    Towbin A, Inge TH, Garcia VF, Roehrig HR, Clements RH, Harmon CM, Daniels SR (2004) Beriberi after gastric bypass surgery in adolescence. J Pediatr 145:263–267

    Article  Google Scholar 

  15. 15.

    Inge TH, Courcoulas AP, Jenkins TM, Michalsky MP, Brandt ML, Xanthakos SA, Dixon JB, Harmon CM, Chen MK, Xie C, Evans ME, Helmrath MA, Teen–LABS Consortium (2019) Five-year outcomes of gastric bypass in adolescents as compared with adults. N Engl J Med 380:2136–2145

    Article  Google Scholar 

  16. 16.

    Michalsky MP, Inge TH, Simmons M, Jenkins TM, Buncher R, Helmrath M, Brandt ML, Harmon CM, Courcoulas A, Chen M, Horlick M, Daniels SR, Urbina EM, Teen-LABS Consortium (2015) Cardiovascular risk factors in severely obese adolescents: the teen longitudinal assessment of bariatric surgery (Teen-LABS) study. JAMA Pediatr 169:438–444

    Article  Google Scholar 

  17. 17.

    Al-Bahri S, Fakhry TK, Gonzalvo JP, Murr MM (2017) Bariatric surgery as a bridge to renal transplantation in patients with end-stage renal disease. Obes Surg 27:2951–2955

    Article  Google Scholar 

  18. 18.

    Kim Y, Jung AD, Dhar VK, Tadros JS, Schauer DP, Smith EP, Hanseman DJ, Cuffy MC, Alloway RR, Shields AR, Shah SA, Woodle ES, Diwan TS (2018) Laparoscopic sleeve gastrectomy improves renal transplant candidacy and posttransplant outcomes in morbidly obese patients. Am J Transplant 18:410–416

    CAS  Article  Google Scholar 

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Drs. Mann and Traum conceptualized, wrote, and critically reviewed the manuscript. Ms. Fayemi, Ms. Myles, Ms. Kelley, Dr. Carmine, and Dr. Richmond provided scientific input, were involved in the analysis and interpretation of data, and critically reviewed the manuscript. All authors approved the final manuscript as submitted and agree to be accountable for all aspects of the work.

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Correspondence to Avram Z. Traum.

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This refers to the article that can be found at https://doi.org/10.1007/s00467-020-04916-6.

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Mann, N., Fayemi, A., Myles, M. et al. A hemodialysis patient with difficulty ambulating: Answers. Pediatr Nephrol (2021). https://doi.org/10.1007/s00467-021-04931-1

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  • Kidney failure
  • Dialysis
  • Gastric bypass
  • Lower extremity weakness
  • Polyneuropathy
  • Thiamine deficiency
  • Dry beriberi