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Patients receiving hemodialysis (HD) often have complex chronic wounds, which are hard to heal because of complications of other diseases, including DM, calciphylaxis, collagen disease, arteriosclerosis obliterans, chronic anemia, and weakness of the skin (Figures 1-3)1-3). Subsequent infection of necrotic skin tissue is associated with the risk of sepsis, which may be fatal if the blood access shunts become infected 4).

Complex Wounds in Patients Receiving Hemodialysis