International Wound Journal • Vol 22 • No 7
Pathophysiology of Wound Development and Chronicity in Renal Disease: A Narrative Review
June 2025 • Kirtana Sandepudi, Krish V. Shah, Bradley A. Melnick, Rui Li, Kelly Ho, Madeline J. O’Connor, Robert D. Galiano
ABSTRACT Renal disease, including chronic kidney disease (CKD) and end‐stage renal disease (ESRD), has a profound impact on wound healing. Multiple studies have demonstrated that renal disease leads to an increased risk of diabetic foot ulcers, the formation of unique wounds like calciphylaxis, slower wound healing and a higher risk of amputation. This review details the interrelated mechanisms by which renal disease impacts wound healing. Motor and sensory neuropathies contribute to wound formation via foot defor…