Encapsulating Peritoneal Sclerosis in a Patient Receiving Peritoneal Dialysis and Glucocorticoid Therapy.

duodenal stenosis encapsulating peritoneal sclerosis end-stage renal disease peritoneal dialysis prednisone

Journal

Internal medicine (Tokyo, Japan)
ISSN: 1349-7235
Titre abrégé: Intern Med
Pays: Japan
ID NLM: 9204241

Informations de publication

Date de publication:
01 Nov 2023
Historique:
medline: 3 11 2023
pubmed: 13 7 2023
entrez: 12 7 2023
Statut: ppublish

Résumé

Encapsulating peritoneal sclerosis (EPS) is a fatal complication of peritoneal dialysis. A 68-year-old man undergoing peritoneal dialysis for 10 years started receiving daily 50 mg of glucocorticoids for idiopathic pulmonary sclerosis. At the transition to hemodialysis, a peritoneal biopsy was performed, which demonstrated mild histological changes, including no fibrin formation and mild T lymphocyte infiltration at the time of 6.5 mg glucocorticoids. However, five months later, he developed EPS when receiving 2.5 mg glucocorticoids. Afterward, over 5 mg daily glucocorticoids were required to avoid the recurrence of EPS. These findings suggest that glucocorticoids may conceal peritoneal inflammation, a main contributor to EPS.

Identifiants

pubmed: 37438140
doi: 10.2169/internalmedicine.1760-23
pmc: PMC10686746
doi:

Substances chimiques

Glucocorticoids 0

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

3203-3207

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Auteurs

Kensei Taguchi (K)

Division of Nephrology, Department of Medicine, Kurume University School of Medicine, Japan.

Yuta Mitsuishi (Y)

Division of Nephrology, Department of Medicine, Kurume University School of Medicine, Japan.

Sakuya Ito (S)

Division of Nephrology, Department of Medicine, Kurume University School of Medicine, Japan.

Tomofumi Moriyama (T)

Division of Nephrology, Department of Medicine, Kurume University School of Medicine, Japan.

Kei Fukami (K)

Division of Nephrology, Department of Medicine, Kurume University School of Medicine, Japan.

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Classifications MeSH