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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Developed Some Painful Bruises. Is It Due To Kidney Failure, Will Hold The Upcoming Kidney Transplant?

my wife has been in end stage renal failure for almost 2 years now with 13% kidney function. I am the donorfor her upcoming transplant. She had 5 by[ass heart surgery January 20th. She is about to undergo igiv plasma pheresis to rid her body of an antibody introduced thru a transfusion during the surgery. she has developed over the last week 4 or 5 bruises, some slighly raised - those raised slightly painful. the question is, can we assume that these might be due to the progression of the kidney fauilure rather than another horrific holdup of the transplant?
posted on Sun, 27 May 2012
Twitter Sat, 2 Jun 2012 Answered on
Twitter Tue, 3 Jul 2012 Last reviewed on
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Nephrologist 's  Response
Dear D Keener,

Bruises can occur in someone on dialysis due to Heparin used during dialysis. She also is likely to be on aspirin and/ or clopidogrel (most heart patients would be on this ) which would again contribute to bruising. Her doctors would check her platelets and blood coagulation parameters, if bruising continues to occur and modify therapy accordingly. It is unlikely to hold up the transplant.
Regards
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Developed Some Painful Bruises. Is It Due To Kidney Failure, Will Hold The Upcoming Kidney Transplant?

Dear D Keener, Bruises can occur in someone on dialysis due to Heparin used during dialysis. She also is likely to be on aspirin and/ or clopidogrel (most heart patients would be on this ) which would again contribute to bruising. Her doctors would check her platelets and blood coagulation parameters, if bruising continues to occur and modify therapy accordingly. It is unlikely to hold up the transplant. Regards