Continuous ambulatory peritoneal dialysis in a patient with diabetic chronic renal failure and hemophilia.
- Author:
Hyun Ju CHOI
1
;
Min Ok KIM
;
So Yeon CHOI
;
Young Keun KIM
;
Sang Hyun PARK
;
Ihn Seong JO
Author Information
1. Department of Internal Medicine, Eulji University Hospital, Eulji University, Daejeon, Korea. minogiya@dreamwiz.com
- Publication Type:Case Report
- Keywords:
Hemophilia;
Peritoneal dialysis;
Chronic renal failure
- MeSH:
Catheters;
Dialysis;
Disease Susceptibility;
Factor VIII;
Hemophilia A;
Hemorrhage;
Humans;
Kidney Failure, Chronic;
Middle Aged;
Peritoneal Dialysis;
Peritoneal Dialysis, Continuous Ambulatory;
Renal Dialysis;
Uremia;
Visual Acuity;
Vitrectomy
- From:Korean Journal of Medicine
2009;76(1):96-99
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Long-term dialysis is undertaken infrequently in patients with hemophilia and chronic renal failure, and there are no definite guidelines for the treatment of end-stage renal disease in hemophiliacs. We report a case of peritoneal dialysis in a hemophiliac with diabetic chronic renal failure. A 46-year-old man with severe hemophilia was admitted to our hospital for decreased visual acuity and the management of uremia. After vitrectomy, he was started on hemodialysis to treat his uremic bleeding diathesis. To avoid bleeding through a vascular access site, peritoneal dialysis therapy for long-term treatment was proposed. A surgical peritoneal catheter was introduced with simultaneous factor VIII administration. In the seven subsequent months, no episodes of intraperitoneal or retroperitoneal hemorrhage have been observed. Continuous ambulatory peritoneal dialysis may be a relatively safe dialysis modality without danger of bleeding in hemophiliacs.
