My boyfriend has type 1 diabetes and has been on dialysis for about a year and a half now. He has developed very painful scabs on the ends of his fingers on the opposite hand where he is connected to dialysis. The nephrologist says that they have seen this before with dialysis patients, but there is no known treatment. He has also seen a surgeon, who says there is circulation at the ends of his fingers, but the only treatment he suggested was amputation of the fingertips.
Have you heard of this condition?
I have done some checking with our diabetes-friendly nephrologist at our institution to review this question. The consensus is that this is probably related to diabetes-related microvascular disease. That means that there is probably good blood flow in the larger blood vessels but the flow in the small vessels, which supply the skin, is markedly decreased. Amputation is helpful in controlling the pain. There is the risk that they could redevelop, even in digits that have been surgically treated previously.
Original posting 26 Apr 2001
Posted to Complications
Last Updated: Tuesday April 06, 2010 15:09:22
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.
This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents. Our mission is to provide education and support to families living with type 1 diabetes.
© Children with Diabetes, Inc. 1995-2016. Comments and Feedback.