Hemodialysis in the Compact Nations of the US Affiliated Pacific: History and Health Care Implications.

The epidemic of non-communicable disease in the Compact nations of the US Affiliated Pacific Islands and the associated renal complications drive the demand for hemodialysis. Limited healthcare budgets and a lack of trained human health resources in these areas make hemodialysis a challenging undertaking that may require significant sacrifices in competing health care priorities. Two nephrologists who developed hemodialysis in the US Affiliated Pacific Islands provide its history.

The additive effects of hepatitis C infection and end-stage renal disease in porphyria cutanea tarda.

Various factors contribute to the development of porphyria cutanea tarda (PCT). In this case report, we describe a patient with hepatitis C infection and chronic renal failure. The individual mechanisms, which promote cutaneous disease, are discussed.