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

Jenn Yeu Wang, Betau Hwang, Yuh Feng Lin, Jen Dar Chen

Research output: Contribution to journalArticle

Abstract

In 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.

Original languageEnglish
Pages (from-to)1033-1036
Number of pages4
JournalRenal Failure
Volume34
Issue number8
DOIs
Publication statusPublished - Sep 2012

Keywords

  • Aminodarone
  • Cardiogenic ascites
  • Hemodialysis
  • Hypothyroidism
  • Nephrogenic ascites

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine
  • Nephrology

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