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Uremic pericarditis

Taimur Dad, Mark J Sarnak
Pericarditis and pericardial effusions are not uncommon in patients with end-stage renal disease (ESRD). Etiologies include those found in the general population along with two entities unique to patients with kidney disease, namely uremic and dialysis-associated pericarditis. Uremic pericarditis has been arbitrarily defined as pericarditis that develops before or within 8 weeks of initiation of dialysis, while dialysis-associated pericarditis is used to define pericarditis in patients on dialysis for more than 8 weeks...
September 2016: Seminars in Dialysis
Efe Edem, Behlül Kahyaoğlu, Mehmet Akif Çakar
BACKGROUND: There are many well-known causes of pericardial effusion, such as cancer metastasis, bacterial or viral pericarditis, and uremic pericarditis; however, no reports exist in the literature demonstrating a pericardial effusion that led to cardiac tamponade following consumption of an herbal remedy. CASE REPORT: A 32-year-old male patient was referred to our cardiology outpatient clinic with a complaint of dyspnea. The patient's medical history was unremarkable; however, he had consumed 3 boxes of horse chestnut (Aesculus hippocastanum L) paste over the previous 1...
2016: American Journal of Case Reports
Marina Kohara, Shin-ichi Takeda, Takuya Miki, Ken Ohara, Yuko Yamanaka, Mutsumi Kawamata, Erika Hishida, Natsuko Wakabayashi, Tomoyuki Yamazaki, Masaru Ichida, Tetsu Akimoto, Shigeaki Muto, Daisuke Nagata
Uremic patients may have a variety of organ involvement, however, the precise causality may be impossible to determine in some cases because the symptoms of uremia are also associated with other diseases. With an emphasis on the elusive nature of uremia, we herein describe a 53-year-old man with preexisting renal impairment who developed acute pericarditis with deterioration of his renal function. Hemodialysis was immediately initiated on the presumption of uremia, however, articular symptoms emerged approximately a month later and led to a final diagnosis of rheumatoid arthritis, followed by successful withdrawal of hemodialysis...
2016: Internal Medicine
Macaulay Amechi Chukwukadibia Onuigbo, Nneoma Agbasi, Jennifer Achebe, Charles Odenigbo, Fidelis Oguejiofor
Portal hypertensive gastropathy (PHG) is a gastric mucosal lesion complicating portal hypertension, with higher prevalence in decompensated cirrhosis. PHG can sometimes complicate autosomal dominant polycystic kidney disease (ADPKD) due to the presence of multiple liver cysts. Besides, PHG is known to present as chest pain, with or without hematemesis. Other causes of chest pain in ADPKD include referred chest pain from progressively enlarging kidney cysts, and rare pericardial cysts. Chest pain, especially if pleuritic, in end-stage renal disease (ESRD) patients, is often ascribed to uremic pericarditis...
2016: Journal of Renal Injury Prevention
M Pio, Y M Afassinou, S Pessinaba, K E Mossi, A Kotosso, S Baragou, E G Akue, A M Ephoevi-Ga, B Atta, K E Ehlan, F Damorou
OBJECTIVE: to describe the course and the etiologic, prognostic, and therapeutic aspects of effusive pericarditis (EP) in Togo. MATERIAL ANDMETHODS: Prospective and longitudinal study conducted at the cardiology department of Sylvanus Olympio Teaching Hospital of Lome from February 1, 2011, to January 31, 2014, of patients hospitalized for EP, confirmed by Doppler echocardiography. RESULTS: The study included 38 patients. The hospital incidence rate of EP was 2...
January 2016: Médecine et Santé Tropicales
Seyed-Ali Sadjadi, Ardavan Mashahdian
PATIENT: Male, 71 • Male, 69 • . Female, 49. FINAL DIAGNOSIS: Uremic pericarditis. SYMPTOMS:MEDICATION:CLINICAL PROCEDURE: Hemodialysis. SPECIALTY: Nephrology. OBJECTIVE: Rare disease. BACKGROUND: Uremic pericarditis, common at one time among dialysis patients, has become a rare entity in recent years. Due to its low incidence, its recognition has gained importance among internists, cardiologists, and nephrologists...
2015: American Journal of Case Reports
Stanislas Bataille, Philippe Brunet, Alexandre Decourt, Guillaume Bonnet, Anderson Loundou, Yvon Berland, Gilbert Habib, Henri Vacher-Coponat
BACKGROUND: Pericardial effusion in uremic patients (UPE) was first described by R. Bright in 1836. It is generally agreed that patients require emergency pericardial drainage when tamponade signs are present, but in patients with no tamponade the optimal timing for drainage remains unclear. METHODS: To define patients who will require pericardial drainage, we retrospectively studied risk factors for pericardial drainage in patients admitted with pericardial effusion and chronic renal failure...
February 2015: Journal of Nephrology
Imran Khan, Charles McCreery
A 36-year-old man who was an active user of illicit intravenous drugs was admitted to the hospital with acute renal failure. He had been feeling generally unwell for the preceding 6 months. He was short of breath at rest, and his heart rate was 108 beats per minute and his blood pressure 140/80 mm..
September 26, 2013: New England Journal of Medicine
Mahboob Rahman, Fariha Shad, Michael C Smith
Acute kidney injury is characterized by abrupt deterioration in kidney function, manifested by an increase in serum creatinine level with or without reduced urine output. The spectrum of injury ranges from mild to advanced, sometimes requiring renal replacement therapy. The diagnostic evaluation can be used to classify acute kidney injury as prerenal, intrinsic renal, or postrenal. The initial workup includes a patient history to identify the use of nephrotoxic medications or systemic illnesses that might cause poor renal perfusion or directly impair renal function...
October 1, 2012: American Family Physician
Moniek W M van de Luijtgaarden, Marlies Noordzij, Charles Tomson, Cécile Couchoud, Giovanni Cancarini, David Ansell, Willem-Jan W Bos, Friedo W Dekker, Jose L Gorriz, Christos Iatrou, Liliana Garneata, Christoph Wanner, Svjetlana Cala, Olivera Stojceva-Taneva, Patrik Finne, Vianda S Stel, Wim van Biesen, Kitty J Jager
BACKGROUND: Little is known about the criteria nephrologists use in the decision of when to start renal replacement therapy (RRT) in early referred adult patients. We evaluated opinions of European nephrologists on the decision for when to start RRT. STUDY DESIGN: European web-based survey. PREDICTORS: Patient presentations described as uncomplicated patients, patients with unfavorable clinical and unfavorable social conditions, or patients with specific clinical, social, and logistical factors...
December 2012: American Journal of Kidney Diseases: the Official Journal of the National Kidney Foundation
M Girndt
Uremia describes the consequences of intoxication in chronic renal failure with substances that are renally cleared in healthy individuals. Acute uremia is a syndrome of gastrointestinal symptoms, pericarditis, pleuritis, and central nervous system alterations ending with coma. These symptoms can be resolved by renal replacement therapy. In addition, chronic uremia can result in damage of multiple organ systems, which continues to advance despite dialysis therapy. This is caused by retention of toxins that cannot be adequately removed due to insufficient treatment time or a molecular weight range hampering elimination...
July 2012: Der Internist
Arsen D Ristić, Dejan Simeunovi, Ivan Milinković, Jelena Seferović-Mitrović, Ruzica Maksimović, Petar M Seferović, Bernhard Maisch
Hemodynamic instability is the major concern in surgical patients with pericardial diseases, since general anesthesia and positive pressure ventilation may precipitate cardiac tamponade. In advanced constriction diastolic impairment and myocardial fibrosis/atrophy may cause low cardiac output during and after surgery. Elective surgery should be postponed in unstable patients with pericardial comorbidities. Pericardial effusion should be drained percutaneously (in local anesthesia) and pericardiectomy performed for constrictive pericarditis before any major surgical procedure...
2011: Acta Chirurgica Iugoslavica
Roman L Kleynberg, Vera M Kleynberg, Leonid M Kleynberg, Danny Farahmandian
Pericardial involvement in end-stage renal disease (ESRD) is manifested most commonly as acute uremic or dialysis pericarditis and infrequently as chronic constrictive pericarditis (CCP). We report a 27-year-old patient with a history of uncontrolled hypertension, end-stage-renal disease on hemodialysis, who presented with recurrent ascites, dyspnea, and hypotension. After diagnosis with CCP, a partial pericardiectomy was performed; however, the patient did not improve and a salvage total pericardiectomy soon followed...
2011: International Journal of Nephrology
Viktor Feldman, Zamir Dovrish, Noemi Weisenberg, Yoram Neuman, Howard Amital
No abstract text is available yet for this article.
April 2011: Israel Medical Association Journal: IMAJ
No abstract text is available yet for this article.
August 5, 1965: New England Journal of Medicine
G R Cumming
The autopsy frequency of pericarditis is two to six percent excluding uremic pericarditis and pericarditis secondary to myocardial infarction. The hospital incidence in adults is about one per 1000 admissions.(7,8)Pericarditis is easily overlooked as a cause of chest pain, particularly if the pain is atypical and not too bothersome to the patient. Consideration of pericarditis in the differential diagnosis of chest pain, careful auscultation for a pericardial friction rub and the use of ultrasound to confirm pericardial effusion will increase the frequency of diagnosis...
April 1981: Canadian Family Physician Médecin de Famille Canadien
Y-C Lo, K-H Shu, T-M Yu
No abstract text is available yet for this article.
November 2011: QJM: Monthly Journal of the Association of Physicians
Simmi Dube, V K Sharma
Acute renal failure requiring renal replacement therapy (RRT) is a frequent complication in critically ill patients with high morbidity and mortality. Early prediction of who is going to need RRT is clinically useful in the intensive care unit (ICU). Patients' with diuretic resistant pulmonary edema, hyperkalemia/metabolic acidosis refractory to medical therapy and uremic complications (pericarditis, encephalopathy, bleeding) are candidates who need RRT as an earlier intervention with continuous haemofiltration, which might be beneficial to the patient and even prevent clinicians from implementing unnecessary, futile and perhaps injurious escalations in medical therapy (e...
October 2009: Journal of the Association of Physicians of India
Hung-An Chen, Chun-Hsiung Chen, He-Hsiung Cheng
Hemolytic uremic syndrome (HUS) consists of microangiopathic hemolytic anemia, thrombocytopenia, and acute renal failure. Autoimmune diseases have seldom been reported to be the etiology of HUS. Primary Sjögren's syndrome (pSS) is a systemic autoimmune disease affecting primarily the exocrine glands. Symptomatic pericarditis and pulmonary hemorrhage are rare manifestations in pSS patients. We describe the unusual case of a pSS patient with the initial presentation of HUS and pericarditis and a fatal progression of pulmonary hemorrhage...
June 2009: Clinical Rheumatology
Jing-Ren Tseng, Ming-Jse Lee, Kung-Chi Yen, Cheng-Hao Weng, Chih-Chia Liang, I-Kuan Wang, Chiz-Tzung Chang, Dan-Tzu Lin-Tan, Ja-Liang Lin, Tzung-Hai Yen
INTRODUCTION: This observational study investigated the course and outcome of dialysis pericarditis in diabetic dialysis patients, as previous reports found that in contrast to uremic pericarditis, which responds in most cases to intensive hemodialysis, dialysis pericarditis resolves with intensification of hemodialysis in fewer cases. METHODS: From 2002 through 2006, 88 maintenance hemodialysis patients (47 diabetic and 41 non-diabetic) were referred for management of dialysis pericarditis...
2009: Kidney & Blood Pressure Research
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