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Forum Name: Miscellaneous Nephrology Topics

Question: Minimal Change Disease and dialysis


 mcdinquiry - Sun Oct 21, 2007 3:16 pm

My father (82) was diagnosed with minimal change disease 2 months ago. He also has diabetes and myesthenia gravis and is on about 17 medications for various things. The steroids didn't seem to be helping his minimal change so he has been having dialysis through a catheter 3 times a week also. I can't find any information on using dialysis for minimal change disease. He isn't eating much and has probably lost about 40 pounds. He has had a couple of episodes of dizziness/faintness after dialysis, so is not driving. A month ago the dr. said he hoped the dialysis would be temporary, but we don't really know how long it will take to get through this. Is dialysis often used for minimal change disease?
 Dr. Chan Lowe - Sun Oct 21, 2007 9:34 pm

User avatar Hi Mcdinquiry,

There are a few things that are uncommon in your father's case. First, minimal change disease developing at 82 is unusual. Also, it is very uncommon for minimal change disease to require dialysis.

If your father has not had a renal biopsy this would be good to discuss with his doctor to be sure of what is going on. The need for dialysis makes me wonder if his kidney disease has progressed beyond minimal change disease.

Follow up with a nephrologist is crucial. Unfortunately, given the uncertainties of his case I am unable to say how long I think he will need dialysis for.

Best wishes.

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