KARL D. NOLPH, M.D.; JACK RUBIN, M.D.; PHILIP C. ANDERSON, M.D.
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To the editor: We are encouraged by the many letters in the June issue (Ann Intern Med 88:842-843, 1978) reporting additional experiences wherein psoriasis improved with dialysis. Dr. Wilson's letter in that issue, however, is incorrect with regard to our protocol for dialysis of patients with psoriasis. The protocol, as published, did explain our use of heparin; specifically, "Heparin (1000 U/2 litres) was added to the initial four exchanges."
Dr. Wilson's letter describes his experience with intermittent heparin injections and dramatic clearing of psoriasis in two patients. The patients apparently were receiving heparin injections for their coronary arterial disease. As
NOLPH KD, RUBIN J, ANDERSON PC. Dialysis and Psoriasis. Ann Intern Med. ;89:285. doi: 10.7326/0003-4819-89-2-285_1
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Published: Ann Intern Med. 1978;89(2):285.
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