Corticosteroid Therapy for Refractory Uremic Pleurisy / 이화의대지
The Ewha Medical Journal
; : 125-128, 2016.
Article
em En
| WPRIM
| ID: wpr-84898
Biblioteca responsável:
WPRO
ABSTRACT
Uremic pleuritis is a fibrinous pleuritis of unknown pathogenesis in patients with chronic kidney disease. Although it responds to regular dialysis or repeated thoracentesis, cases that are refractory to those therapies have been reported. We report a case of uremic pleuritis which showed marked improvement following corticosteroid therapy. The effusion was exudate, and negative in cytology and microbiology. Pleural biopsy revealed chronic inflammation with fibrosis. The pleural effusion did not respond to chest tube drainage and continuance of hemodialysis. With a diagnosis of refractory uremic pleuritis, we started methylprednisolone. The pleural effusion responded to the treatment and resolved without complication.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Derrame Pleural
/
Pleurisia
/
Uremia
/
Biópsia
/
Fibrose
/
Fibrina
/
Metilprednisolona
/
Tubos Torácicos
/
Drenagem
/
Diálise Renal
Tipo de estudo:
Diagnostic_studies
Limite:
Humans
Idioma:
En
Revista:
The Ewha Medical Journal
Ano de publicação:
2016
Tipo de documento:
Article