Late ‐onset Pompe's disease in a hemodialysis patient: A first case report
Abstract
A 37‐year‐old hemodialysis patient appeared with unusual somnolence during 2 successive hemodialysis sessions. Blood gas analysis revealed hypercapnic respiratory failure and spirometry restrictive lung disease. After exclusion of other causes of restrictive lung disease with chest CT‐scan and cerebrum MRI, electrophysiological study revealed myopathy. Because besides lordosis and limb‐girdle gait the patient was ambulant the possibility of late‐onset Pompe's disease was set and confirmed with evaluation of α‐glucosidase activity and genetic analysis. Enzyme replacement therapy (ERT) with aglucosidase...
Source: Hemodialysis International - October 3, 2017 Category: Hematology Authors: Theodoros Eleftheriadis, Panagiota Makri, Paschalia Karakosta, Georgios Pissas, Vassilios Liakopoulos, Helen Michelakakis, Georgios M. Hadjigeorgiou, Ioannis Stefanidis Tags: Case Report Source Type: research
Dialysis disequilibrium syndrome: A rare cause of sudden breath death in a chronic hemodialysis patient
We present a unique case of a 42‐year‐old female on chronic HD, and no prior history of CNS disease, who developed brain death in the setting of DDS 2 hours into the dialysis treatment. A literature review of all previously reported cases was performed. (Source: Hemodialysis International)
Source: Hemodialysis International - October 1, 2017 Category: Hematology Authors: Tarun Dalia, Ahmad M. Tuffaha Tags: Case Report Source Type: research
Atypical familial Mediterranean fever developed in a long ‐term hemodialysis patient
We report a case of atypical FMF that developed in a long‐term hemodialysis patient. A 65‐year‐old Japanese female undergoing hemodialysis for 32 years was referred to our hospital with a fever of unknown origin (FUO) following cervical laminoplasty. The fever occurred as recurrent attacks accompanied by oligoarthralgia of the left hip and knee. We suspected FMF because of recurrent self‐limited febrile attacks, although the patient showed atypical clinical features such as late‐onset and highly frequent attacks. After receiving treatment, she achieved a complete response to colchicine. Therefore, a diagnosis of ...
Source: Hemodialysis International - October 1, 2017 Category: Hematology Authors: Toshiyuki Makino, Yoshitatsu Ohara, Namiko Kobayashi, Yohei Kono, Ayumu Nomizu, Mariko Ichijo, Yutaro Mori, Noriaki Matsui, Dai Kishida, Takayuki Toda Tags: Case Report Source Type: research
New diagnosis of bullous pemphigoid after withdrawal of immunosuppressive therapy in a failed renal transplant recipient on hemodialysis
Abstract
The occurrence of the autoimmune blistering disease, bullous pemphigoid (BP), in patients with failed renal allograft is rare and the few reported cases suggest various provocative factors without reaching a consensus. Here we report the case of a patient presenting with bullous lesions soon after the complete discontinuation of immunosuppressant therapy following renal allograft failure. Skin biopsy confirmed the diagnosis of BP. Administration of systemic corticosteroid controlled the occurrence of BP lesions in our patient. Increased clinical suspicion is warranted in cases of patients with renal transplant fai...
Source: Hemodialysis International - October 1, 2017 Category: Hematology Authors: Sohail Abdul Salim, Litty Thomas, Amanda Quorles, Seyed Mehrdad Hamrahian, Tibor F ülöp Tags: Case Report Source Type: research
Online measurement of hemodialysis adequacy using effective ionic dialysance of sodium ‐A review of its principles, applications, benefits, and risks
Abstract
Dialysis dose is an important determinant of clinical outcomes in patients with end stage renal disease on maintenance dialysis. In clinical practice dialysis dose is monitored at least monthly by urea clearance based on Urea Kinetic Modeling. Online clearance monitoring using effective ionic dialysance (EID) of sodium (Na+) is available on some hemodialysis machines. This paper reviews the background, methodology, additional applications, and potential risks associated with EID. Effective ionic dialysance provides a reliable, real‐time, noninvasive, and inexpensive measurement of dialysis dose during an ongoing...
Source: Hemodialysis International - October 1, 2017 Category: Hematology Authors: Shakil Aslam, Subodh J. Saggi, Moro Salifu, Robert J. Kossmann Tags: Review Article Source Type: research
Spontaneous perirenal hemorrhage in hemodialysis patient treated with selective embolization: A case series and review of the literature
Discussion: We are aware that HD patients have elevated risk of bleeding related complications, additionally the presence of an acute abdominal pain increases the suspicion of SPH as a possible cause. ACKD can be considered one of the possible risk factors for SPH in long‐term HD patients. Interventional treatment for kidney injury is useful and safe for active bleeding in most cases. (Source: Hemodialysis International)
Source: Hemodialysis International - October 1, 2017 Category: Hematology Authors: Yun Xie, Bo Yang, Gengru Jiang, Wei Lu, Claudio Ronco Tags: Original Article Source Type: research
Clinical parameters before and after the transition to dialysis
This study uniquely demonstrates the trajectories of key parameters though the transition from pre‐dialysis to post‐dialysis start. Significant differences are noted in the pre‐dialysis period for patients who survive vs. those who do not survive the first year of dialysis. Early recognition of adverse trends in the pre‐dialysis period may create opportunity to intervene to improve early dialysis outcomes. (Source: Hemodialysis International)
Source: Hemodialysis International - October 1, 2017 Category: Hematology Authors: Dugan W. Maddux, Len A. Usvyat, Terry Ketchersid, Yue Jiao, Tommy C. Blanchard, Peter Kotanko, Frank M. van der Sande, Jeroen P. Kooman, Franklin W. Maddux Tags: Original Article Source Type: research
Factors affecting the patency of arteriovenous fistulas for hemodialysis: Single center experience
Discussion: After successful establishment of an AVF, there is a compelling need to maintain fistula patency. Factors that affect functioning of the AVFs are presently under intense scrutiny. According to our results, some clinical factors may determine long term fistula duration, such as concentration of the magnesium and antiplatelet therapy. (Source: Hemodialysis International)
Source: Hemodialysis International - October 1, 2017 Category: Hematology Authors: Radojica V. Stolic, Goran Z. Trajkovic, Mirjana M. Kostic, Branko Mihailovic, Aleksandar N. Jovanovic, Bratislav D. Lazic, Ivana R. Matijasevi ć, Maša D. Jaksić, Zlatica M. Mirkovic, Tanja N. Smilic, Javorka S. Mitic Tags: Original Article Source Type: research
Effect of incident nocturnal home hemodialysis versus incident continuous ambulatory peritoneal dialysis on employment rate, clinical, and laboratory outcomes: A 1 ‐year retrospective observation study
Discussion: NHHD appeared to offer higher employment rate, lower dosage of aluminum‐based phosphate binder and mineral metabolic markers at 1 year compared with CAPD in Hong Kong. (Source: Hemodialysis International)
Source: Hemodialysis International - October 1, 2017 Category: Hematology Authors: John Wing Li, Joseph Ho Sing Wong, Wai Leung Chak, Ka Foon Chau Tags: Original Article Source Type: research
Can a renal nurse assess fluid status using ultrasound on the inferior vena cava? A cross ‐sectional interrater study
Discussion: A renal nurse can reliably perform ultrasound of the IVC in hemodialysis patients, obtaining high quality scans for volume assessment of hemodialysis patients. This novel approach could be more routinely applied by other renal nurses to obtain objective measures of patient volume status in the dialysis setting. (Source: Hemodialysis International)
Source: Hemodialysis International - October 1, 2017 Category: Hematology Authors: Ulrich Steinwandel, Nicholas Gibson, Amanda Towell, James J. R. Rippey, Johan Rosman Tags: Original Article Source Type: research
An unusual case of an irretrievable hemodialysis catheter in a patient with end stage renal disease
Hemodialysis International,Volume 22, Issue 1, Page E1-E5, January 2018. (Source: Hemodialysis International)
Source: Hemodialysis International - August 30, 2017 Category: Hematology Source Type: research
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Hemodialysis International,Volume 22, Issue 1, Page E1-E5, January 2018. (Source: Hemodialysis International)
Source: Hemodialysis International - August 30, 2017 Category: Hematology Source Type: research
Evaluation of the expected ventilatory response to metabolic acidosis in chronic hemodialysis patients
Hemodialysis International,Volume 22, Issue 2, Page 180-183, April 2018. (Source: Hemodialysis International)
Source: Hemodialysis International - August 23, 2017 Category: Hematology Authors: MarcoMarano Source Type: research
Evaluation of the expected ventilatory response to metabolic acidosis in chronic hemodialysis patients
Hemodialysis International, EarlyView. (Source: Hemodialysis International)
Source: Hemodialysis International - August 23, 2017 Category: Hematology Source Type: research
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Hemodialysis International, Ahead of Print. (Source: Hemodialysis International)
Source: Hemodialysis International - August 23, 2017 Category: Hematology Source Type: research
