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Discontinuation of Hemodialysis in a Patient with Anti-GBM Disease by the Treatment with Corticosteroids and Plasmapheresis despite Several Predictors for Dialysis-Dependence
Joint Authors
Uchida, Shunya
Shibata, Shigeru
Morimoto, Chikayuki
Iino, Risa
Taniguchi, Kei
Kawamorita, Yosuke
Asakawa, Shinichiro
Toyoki, Daigo
Miyano, Shinako
Fujii, Wataru
Ota, Tatsuru
Fujigaki, Yoshihide
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-10-11
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
A 26-year-old man highly suspected of having antiglomerular basement membrane (GBM) disease was treated with corticosteroid pulse therapy 9 days after initial infection-like symptoms with high procalcitonin value.
The patient required hemodialysis the next day of the treatment due to oliguria.
In addition to corticosteroid therapy, plasmapheresis was introduced and the patient could discontinue hemodialysis 43 days after the treatment.
Kidney biopsy after initiation of hemodialysis confirmed anti-GBM disease with 86.3% crescent formation.
Physician should keep in mind that active anti-GBM disease shows even high procalcitonin value in the absence of infection.
To pursue recovery of renal function, the challenge of the immediate and persistent treatment with high-dose corticosteroids plus plasmapheresis for highly suspected anti-GBM disease is vitally important despite the presence of reported predictors for dialysis-dependence including oliguria and requiring hemodialysis at presentation.
American Psychological Association (APA)
Fujigaki, Yoshihide& Morimoto, Chikayuki& Iino, Risa& Taniguchi, Kei& Kawamorita, Yosuke& Asakawa, Shinichiro…[et al.]. 2017. Discontinuation of Hemodialysis in a Patient with Anti-GBM Disease by the Treatment with Corticosteroids and Plasmapheresis despite Several Predictors for Dialysis-Dependence. Case Reports in Nephrology،Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1147006
Modern Language Association (MLA)
Fujigaki, Yoshihide…[et al.]. Discontinuation of Hemodialysis in a Patient with Anti-GBM Disease by the Treatment with Corticosteroids and Plasmapheresis despite Several Predictors for Dialysis-Dependence. Case Reports in Nephrology No. 2017 (2017), pp.1-5.
https://search.emarefa.net/detail/BIM-1147006
American Medical Association (AMA)
Fujigaki, Yoshihide& Morimoto, Chikayuki& Iino, Risa& Taniguchi, Kei& Kawamorita, Yosuke& Asakawa, Shinichiro…[et al.]. Discontinuation of Hemodialysis in a Patient with Anti-GBM Disease by the Treatment with Corticosteroids and Plasmapheresis despite Several Predictors for Dialysis-Dependence. Case Reports in Nephrology. 2017. Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1147006
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1147006