Peritonitis parenteral nutrition

The authors speculated that hemodialysis and long-term parenteral nutrition may result in reversal of peritoneal calcification caused by CAPD. 

Najem ES, Webel M, Ailinani JM. Reversibility of peritoneal calcification in a dialysis patient maintained on hemodialysis and total parenteral nutrition. Am J Roentgenol 1999 172(l) 247-8. 

The disease is not sensitive to any medication used to treat nephrotic syndrome. Death is mostly related to lack of nutritional support or intercurrent disastrous infections even before ESRD starts at approximately 2-4 years of age. The currently most accepted treatment includes vigorous parenteral nutrition and protein replacement from birth on, bilateral nephrectomy and starting peritoneal dialysis during late infancy, and early planning of renal transplantation (Mahan et al. 1984 Holmberg et al. 1995). 

---