JOSEPH MCEVOY, M.D.
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To the editor: As one author of the original paper describing psoriatic clearance during hemodialysis (MCEVOY J, KELLY AMT: Ulster Med J 45:76-78, 1976) I was most interested to read the paper by Twardowski and associates, "Peritoneal Dialysis for Psoriasis. An Uncontrolled Study" (Ann Intern Med 88:349-351, 1978). In the article it is stated, "Reported improvement of psoriasis during hemodialysis with the use of bicarbonate dialysis fluid suggests that a direct effect of acetate or lactate is unlikely (1, 6)."
Reference 2 (TWARDOWSKI ZJ: Abatement of psoriasis and repeated dialysis. Ann Intern Med 86:509-510, 1977) contains no reference to the
MCEVOY J. Psoriasis and Hemodialysis. Ann Intern Med. ;89:429–430. doi: 10.7326/0003-4819-89-3-429_2
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Published: Ann Intern Med. 1978;89(3):429-430.
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