UREMIC PLEURITIS

Fatmir Ismaili, Zamira Bexheti, Muhamedin Rushiti

Abstract

One complication of treatment of hemodialysis in uremic patients is also exudative pleuritis. As a consequence of the expanded use of long-term hemodialysis treatment and the extended life spans, complications of chronic renal failure are being encountered with increasing frequency in uremic patients. Such patients develop many thoracic and extrathoracic problems. Pleuritis and pericarditis, uremic pneumonia, EN pulmonary infection, and metastatic pulmonary calci?cation. As a consequence of the expanded use of long-term hemodialysis and extended life spans, complications of chronic renal failure are encountered with an increased frequency among uremic patients. Such patients may develop many thoracic and extrathoracic problems most frequently uremic pleuritis and pericarditis, uremic pneumonia, infection, and metastatic pulmonary calcification. Despite the association with an exudative effusion, inflammatory pleural reactions in patients with uremic pleuritis may not be as severe as infection-induced effusions. Owing to the advancement in HD technology and other interventions, outcome of uremic pleuritis may be improved (Rashid et al., 2013). Common etiologies of pleural effusion in this patient group are heart failure, volume overload, parapneumonic effusion, tubercular pleuritis, and uremic pleuritis (Bakirci et al. 2007, Patel et.al 2013). Exudative pleuritis as a result of global hiperkapni polyserosit and due to the lack of or inefficient filtration, compliance by patients due to the dietetic regime. Exudative bilateral pleuritis in female gender was present in 8 (14.8%) of the total of the patients = in 54 patients examined was present while unilateral pleuritis in 11/54 (20.4%) of female patients examined. Male patients examinated for unilateral pleuritis was were examined 18/66 (27.3%), while for bilateral pleuritis were examined 16/66 (24.2%) of cases. Diagnosis was verified on the basis of the clinical symptoms, ultrasound, x-ray of lungs and respiratory function tests. As a conclusion, we can verify that increased body weight, infectious diseases, frequent inflammation as a result of impaired immunity, MIA tuberculosis, inactivity may be the most common causes of uremic pleuritis in patients treated with ESRD with long term recurrent HD.

Pages: 31 - 35