• Renal failure · Jan 2012

    Case Reports

    Development of refractory ascites during amiodarone therapy in a hemodialysis patient with nephrogenic and cardiogenic ascites.

    • Jenn Yeu Wang, Betau Hwang, Yuh Feng Lin, and Jen-Dar Chen.
    • Division of Nephrology and Division of Occupational Medicine, Department of Medicine, Taipei City Hospital, Zhongxiao Campus, Taipei City, Taiwan, ROC. nephrol@ms19.hinet.net
    • Ren Fail. 2012 Jan 1; 34 (8): 1033-6.

    AbstractIn this report, the clinical characteristics of a 65-year-old female patient with tricuspid regurgitation, ischemic cardiomyopathy, congestive heart failure, and chronic renal failure were retrospectively evaluated. Laboratory studies revealed cardiogenic ascites coincided with nephrogenic ascites and subclinical amiodarone-induced hypothyroidism. The ascites of the patient was responsive to management of congestive heart failure and therapeutic paracentesis during the first episode, add-on therapy with intensified hemodialysis during the second episode, and add-on therapy with low-dose eltroxin during the third episode. When nephrogenic ascites and cardiogenic ascites of maintenance hemodialysis patients become refractory, hypothyroidism should be examined in these patients.

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