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NDT Plus Advance Access published online on August 7, 2009
NDT Plus, doi:10.1093/ndtplus/sfp102
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© The Author [2009]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Refractory uraemic pleuropericarditis treated successfully with corticosteroid therapy

So-Young Lee, Gi-youn Hong, Jun Gu Chung, Dong Ho Yang and Hyung-Jong Kim

Department of Internal Medicine, College of Medicine, CHA University, Seongnam, Korea

Correspondence: Hyung-Jong Kim; E-mail: khj04{at}cha.ac.kr


  Abstract

Uraemic pleuritis and pericarditis are frequently observed in chronic renal failure patients and tend to improve with continued haemodialysis. However, certain cases have been reported that do not respond to continued haemodialysis alone. A 67-year-old female on long-term haemodialysis was diagnosed with uraemic pleuropericarditis and treated with intensive haemodialysis and given a non-steroidal anti-inflammatory drug to which she showed no response. We report a case of uraemic pleuropericarditis refractory to traditional therapy, which was treated successfully with corticosteroid therapy.

Key Words: pericarditis • pleuritis • refractory • uraemic

Received for publication June 25, 2009. Accepted for publication July 13, 2009.


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