DOI: http://dx.doi.org/10.18203/2349-3933.ijam20193282

Study of pleural effusion in chronic kidney disease patient undergoing hemodialysis in Andhra Pradesh population

Yasar Arafath Shaikh

Abstract


Background: About 85 patients aged between 30 to 65 years suffering with chronic kidney disease with pleural effusion undergoing hemodialysis were studied.

Methods: X-ray, USG and Biochemical study was performed to confirm the Diagnosis.

Results: The clinical manifestation was 17 (20%) had hypertension (HTN), 16 (18.8%) had DM (Diabetes mellitus), 12 (14.1%) had cardiac disease 9 (10.5%), had cardiovascular disease, 5 (5.8%) had malignancy. 10 (11.7%), had COPD, 13 (15.2%) had hepatitis 3 (3.5%) had thyroid disease, Hb%, profile was 40 (47%), had 9 to 9.5%, 45 (52.9%) had 10 to 10.5, protein (total) 39 (45.8%) had 6.2 to 6.5 g/dl and 46 (54.1%) had 66 to 6.9 g/dl Albumin 43 (50.5%) was 3.1 to 3.5 g/dl, 42 (49.4%) had 3.6 to 3.8 g/dl. Uric acid in 38 (44.7%) was 7.1 to 7.5 mg/dl, 47 (55.2%) had 7.6 to 8.2 mg/dl, Urea nitrogen in 44 (48.2%) was 88 to 89.2 mg/dl 44(51.7%) had 90 to 96.2 mg/dl GFR in 37 (43.5%) was 5.25 to 5.32 and 48 (56.4%) 5.33 to 6.24  ml/min/1.73 Acess to hemodialysis 50 (58.8%) had arterio- venous fistula or graft and 35 (41.1%) had catheter. The degree of pleural effusion in 58 (68.2%) had mild 22 (25.8%) had moderate   5 (5.8%) had severe degree of effusion.

Conclusions: This pragmatic study will be quite useful to physician, urologist, nephrologist to treat such patients efficiently so that the life span of such patients will be increased and avoid the morbidity and long stay in hospitals.


Keywords


Diabetes mellitus, Hypertension, Pleural effusion

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References


Bush A, Gabriel R. The lungs in uremia a review. J R Soc Med J. 1985;78(10):849-55.

Gibbon D. G-Hemodynamic factors in the development of acute pulmonary academe in renal failure. Lancet. 1966;2(7475):1217-20.

Fairshter RD, Vazir ND. Lung pathology in chronic haemodialysis patients. Int J Artif organs. 1982;5(2):97-100.

Craddock PR, Fehr J, Brigham KL, Kronenberg RS, Jacob HS. Complement and leukocyte-mediated pulmonary dysfunction in hemodialysis. N Engl J Med. 1977;296(14):769-74.

Leong AS, Disney AP, Gove DW. Spoliation and migration of silicon from blood- pump tubing in patients on haemodylysis. N Engl J Med. 1982;306(3):135-40.

Bush A, Miller J, Peacock AJ. Some observation on the role of the abdomen in breathing in patients on portioned dialysis. Clin Sci. 1985;68(4):401-6.

Rutherford WE, Blandin J, Millor JP. chronic progressive renal disease rate of change of serum creatin concentration. Kidney Int. 1977;11(1):62-70.

Cotes JE, Dabbs JM. Iron deficiency anemia, its affection transfer for lung (diffusing capacity) and ventilation and cardiac frequency during sub maximal exercise. Clin Sci. 1972;42(3):325-35.

Storto ML, Kee ST. Hydrostatic pulmonary edema. High resolution CT findings. AJR Can J Roentgenol. 1995;165(4):817-9.

Gavelli G, Zompatori M. Thoracic complication in uremic patients and in patients undergoing dialectic treatment, state of the on art. Euro Radiol. 1997;7(5):708-9.

Mahe JF. Uremic pleuritis. Am J Kidney Dis. 1987;10(1):19-21.