Peripheral Artery Disease in Regular Hemodialysis Patients

Inclusion Criteria: * Adult patients aged ≥18 years. * Undergoing maintenance hemodialysis for at least 3 months (thrice weekly) * Able to provide informed consent. * Willing to undergo clinical and laboratory evaluations, including peripheral vascular assesment Exclusion Criteria: * Active infection or sepsis at the time of evaluation .\* Patients who have a sedimentation rate of more than 60 mm/hour \*. Known autoimmune or hematologic disorders that may influence leukocyte count. * Current use of immunosuppressive therapy, corticosteroids, or chemotherapy.5. History of malignancy.6. Patients with incomplete medical records or unable to undergo peripheral vascular assessment.