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During the congress, E-Posters will be accessible to all participants on the congress website 24/7, as well as in the E-poster stations in the congress center.
Preparing your E-Poster
Please review the E-Poster format requirements carefully when preparing your E-Poster. Should your E-Poster not meet the mentioned requirements, it may not be displayed as described above.
E-Poster Submission Deadline
Please prepare and upload your E-Poster no later than March 14, 2026 11.59PM CET. After this date, you will no longer be able to prepare and upload your E-poster and it will not be displayed and accessible on the congress website.
Please follow the instructions below to input your abstract title.
Abstract titles should be brief and reflect the content of the abstract.
Scleroderma renal crisis (SRC) is a severe complication of systemic sclerosis, and some patients require renal replacement therapy. We report a case of end-stage renal disease secondary to SRC that necessitated initiation of peritoneal dialysis (PD).
A 77-year-old woman presented on day X with edema, fatigue, and rapidly progressive renal dysfunction. One month earlier, finger edema had been noted at a previous hospital. On arrival, there was no overt generalized edema, but she exhibited skin sclerosis of the fingers and an ulcer of the right third proximal interphalangeal (PIP) joint. Her blood pressure was 198/77 mmHg. Based on the findings of newly developed hypertension, elevated anti–RNA polymerase III antibody (100 Index), markedly increased plasma renin activity (51.2 ng/mL/hr), aldosterone (111.0 pg/mL), and acute kidney injury, she was diagnosed with scleroderma renal crisis (SRC) and admitted. Serum creatinine was 10 mg/dL on admission, compared to 0.76 mg/dL approximately one year earlier. Emergency hemodialysis was initiated, and an ACE inhibitor was started with a target systolic blood pressure (sBP) of around 130 mmHg.
Despite gradual up-titration of the ACE inhibitor, blood pressure remained difficult to control, with sBP persistently around 170 mmHg. A calcium channel blocker was added on day X + 4, and dose escalation eventually achieved the target blood pressure. However, renal function did not improve, and maintenance dialysis became necessary. Because systemic sclerosis–related vascular compromise raised concerns that hemodialysis might worsen the digital ulcer, PD was selected. PD was initiated on day X + 32, and her subsequent course was favorable.
At the time of dialysis initiation, the patient’s ownership of multiple cats posed an infection-control concern. Although PD is generally discouraged in cat owners, hemodialysis was not feasible in this case, and PD was selected. This is a rare and instructive case of SRC progressing to end-stage renal disease requiring PD.
