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NDT Advance Access originally published online on November 9, 2005
Nephrology Dialysis Transplantation 2006 21(1):223-225; doi:10.1093/ndt/gfh990
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© The Author [2005]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Nephroquiz
(Section Editor: M. G. Zeier)

The suddenly speechless florist on chronic dialysis: the unexpected threats of a flower shop?

Piccoli Giorgina Barbara1, Burdese Manuel1, Mezza Elisabetta1, Soragna Giorgio1, Tattoli Fabio1, Consiglio Valentina1, Maddalena Emanuela1, Bergui Massimo2, Scarzella Giuseppe3 and Segoloni Giuseppe Paolo1

1 Department of Internal Medicine University of Turin, Italy 2 Neuroradiology ASO Molinette, Torino, Italy 3 Neurology, Ospedale Valdese Torino, Italy

Email: gbpiccoli@hotmail.com or gbpiccoli@yahoo.it

The first 10% of the full text of this article appears below.



   Introduction
 
Maria is a 50-year-old florist, on dialysis since March 2000 because of biopsy-proven IgA nephropathy, previously treated with pulse and oral steroids, and with a short period (about 6 months) of low protein diet. She has a history of breast cancer (in situ lobular carcinoma) for which she underwent mastectomy in 1993.

Dialysis follow-up was uneventful; since September 2001 the patient had been on an active transplant waiting list. She was completely rehabilitated, working full time in her flower shop. Karnofski score was 100 (no sign of disease), the patient participated in regular non-competitive sport. Nutritional status was good (SGA 1; height 163, weight 61 kg, BMI 23), despite a moderate weight reduction since the start of dialysis (8 kg in 2 years), . . . [Full Text of this Article]



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