Skip Navigation


NDT Advance Access originally published online on November 14, 2006
Nephrology Dialysis Transplantation 2007 22(2):328-331; doi:10.1093/ndt/gfl534
This Article
Right arrow Full Text Freely available
Right arrow FREE Full Text (PDF) Freely available
Right arrow All Versions of this Article:
22/2/328    most recent
gfl534v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrow Search for citing articles in:
ISI Web of Science (1)
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Handelman, G. J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Handelman, G. J.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© The Author [2006]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Vitamin C deficiency in dialysis patients—are we perceiving the tip of an iceberg?

Garry J. Handelman

University of Massachusetts, Lowell, MA 01854 and Renal Research Institute, New York, NY 10128, USA

Correspondence and offprint requests to: Garry J. Handelman, 3 Solomont Way, University of Massachusetts, Lowell, MA, 01854, USA. Email: garry_handelman@uml.edu

Keywords: anemia; haemodialysis; iron; oxalosis; vitamin C

The first 150 words of the full text of this article appear below.



   Summary of the problem
 
The occurrence of vitamin C deficiency has complicated the management of dialysis patients since the beginning of renal replacement therapy [1]. The major portion of dietary vitamin C is provided by potassium-rich foods such as orange juice, strawberries and broccoli, but these foods are restricted for haemodialysis (HD) patients because HD removes potassium with limited efficiency. Hyperkalaemia is potentially a major risk factor for dialysis morbidity and mortality [2], and one of the chief responsibilities of the renal dietitian is to instruct the patient to limit the intake of potassium-rich foods [3]. Under these circumstances, low dietary vitamin C intake can readily occur. Since vitamin C is partly metabolized to oxalate, which can accumulate in renal failure patients, many clinicians only recommend a dose of 60–100 mg/day, which may not be optimal. The problem is made more severe by vitamin C losses during dialysis, . . . [Full Text of this Article]



   Vitamin C and erythropoiesis
 


   Vitamin C deficiency and scurvyin dialysis patients
 


   Vitamin C and oxalosis
 


   Summary and conclusions
 

Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 pdiHome page
D. Zwolinska, W. Grzeszczak, M. Szczepanska, I. Makulska, K. Kilis-Pstrusinska, and K. Szprynger
OXIDATIVE STRESS IN CHILDREN ON PERITONEAL DIALYSIS
Perit. Dial. Int., March 1, 2009; 29(2): 171 - 177.
[Abstract] [Full Text] [PDF]