Corticosteroid Therapy for Refractory Uremic Pleurisy.
10.12771/emj.2016.39.4.125
- Author:
Eun Ji PARK
1
;
Min A PARK
;
Myung Jae PARK
;
So Young PARK
;
Seung Hyeun LEE
Author Information
1. Department of Internal Medicine, Kyung Hee University School of Medicine, Seoul, Korea. humanmd04@hanmail.net
- Publication Type:Case Report
- Keywords:
Uremia;
Pleurisy;
Hemodialysis;
Corticosteroid
- MeSH:
Biopsy;
Chest Tubes;
Diagnosis;
Dialysis;
Drainage;
Exudates and Transudates;
Fibrin;
Fibrosis;
Humans;
Inflammation;
Methylprednisolone;
Pleural Effusion;
Pleurisy*;
Renal Dialysis;
Renal Insufficiency, Chronic;
Thoracentesis;
Uremia
- From:The Ewha Medical Journal
2016;39(4):125-128
- CountryRepublic of Korea
- Language:English
-
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.
