Document Detail

Hydrothorax in continuous ambulatory peritoneal dialysis: successful treatment with intrapleural tetracycline and a review of the literature.
MedLine Citation:
PMID:  3970020     Owner:  NLM     Status:  MEDLINE    
Recurrent hydrothorax complicating peritoneal dialysis has been considered a contraindication to continuing peritoneal dialysis. In the continuous ambulatory peritoneal dialysis (CAPD) population this problem has generally required a change of dialytic modality. Talc poudrage has been attempted to ameliorate the problem but has met with limited success. We report a successful case of intrapleural instillation of tetracycline to induce a pleural symphysis and prevent recurrence of peritoneal dialysis-related hydrothorax in a patient who refused any alternative mode of dialysis. We also review the literature, pathophysiology, epidemiology, diagnosis, and management of this compromising problem.
R L Benz; C R Schleifer
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  American journal of kidney diseases : the official journal of the National Kidney Foundation     Volume:  5     ISSN:  0272-6386     ISO Abbreviation:  Am. J. Kidney Dis.     Publication Date:  1985 Feb 
Date Detail:
Created Date:  1985-03-08     Completed Date:  1985-03-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8110075     Medline TA:  Am J Kidney Dis     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  136-40     Citation Subset:  IM    
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MeSH Terms
Hydrothorax / drug therapy*,  etiology
Middle Aged
Peritoneal Dialysis / adverse effects*
Peritoneal Dialysis, Continuous Ambulatory / adverse effects*
Pleura / drug effects
Sex Factors
Tetracycline / administration & dosage*
Reg. No./Substance:

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