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2018-08-28
The Indonesian Journal Chest & Critical Emergency Medicine   eISSN : 2614-2759   /pISSN : 2355-4584   publishes scholarly journals magazine containing original articles, case reports, and review article in subspecialty areas of respirology, critical illness care and medical emergencies. All journals are available for free download online...

 

TERAKREDITASI DIKTI Surat Keputusan Direktur Jenderal Penguatan Riset dan Pengembangan Kementerian Riset, Teknologi, dan Pendidikan Tinggi Nomor 21/E/KPT/2018, tanggal 09 Juli 2018 tentang PERINGKAT AKREDITASI JURNAL ILMIAH PERIODE I TAHUN 2018

 PERPARI (Perhimpunan Respirologi Indonesia) Dept. of Internal Medicine Division of Respirology and Critical Care Internal Medicine Department of Internal Medicine, Faculty of Medicine University of Indonesia, Dr. Cipto Mangunkusumo National General Hospital Jl. Diponegoro No. 71 Jakarta INDONESIA, Fax: 021-31902461,Phone : +6221 314 9704,  E-mail: ina.j.chest@gmail.com    

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Current Issue

Vol 9 No 1 (2022): Uremic Pleuritis pada Penderita Endstage Renal Disease on Chronic Hemodialisa

Dazril Wiradinata 1,  Prayudi Santoso1,2, Arto Yuwono Soeroto1,2

 

1 Fakultas Kedokteran, Universitas Padjadjaran, Bandung, Indonesia.

2 Departemen Ilmu Penyakit Dalam-Divisi Pulmonologi dan Respirasi Kritis, Rumah Sakit Umum Pusat dr. Hasan Sadikin - Fakultas Kedokteran Universitas Padjadjaran, Bandung, Indonesia.

 

Abstract

     Pleural effusions can develop as a direct consequence of uremia (uremic pleuritis) which occurred in 40% of the end stage renal disease patients on chronic hemodialysis in one study. The diagnosis of uremic pleuritis is challenging as there is no pathognomonic diagnostic test.

     In this case, a 68 year old woman who is known to have end-stage chronic renal failure on chronic hemodialysis with shortness of breath was admitted. Previously, the patient had undergone pleurocentesis twice in 2 week intervals. Further examination found a unilateral pleural effusion. Therapeutic pleurocentesis was done uneventfully and modified light’s criteria was exudated. Adenosine deaminase 15.5 U/L, negative bacterial and mycobacterial. Pleural fluid cytology revealed nonspecific chronic inflammation, no lymphocytic effusion and no malignant cells was noted.

     Uremic pleuritis is diagnosed by excluding other causes that persists or recurs despite aggressive haemodialysis. A close relationship between the degree of uremia and the occurrence of pleural effusions has not been found. Effusion is exudative with predominant lymphocytes and cytology reveals nonspecific chronic inflammation. Most patients respond to continuation of hemodialysis, but corticosteroids may have benefit for refractory uremic pleuritis. Some patients may develop pleural fibrosis with a trapped lung and about 20% of cases the pleuritis persists, recurs or occasionally progresses to restrictive ventilatory dysfunction that needs decortication.

      We need to consider this diagnosis in patients with end-stage renal disease despite routine hemodialysis because of the high incidence of uremic pleuritis. There are no pathognomonic signs, so all causes of pleural effusion must be excluded first.

 

Keyword: uremic pleuritis, end stage renal disease, pleural effusion

 

Published: 2022-06-16
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Table of Contents Vol 8 No 2 | Juli - Des. 2021

Editorial

TBC  sensitif dan TBC  Resistan Obat (TBC RO)  Prayudi Santoso

Original Article

Association Between Fraction And Ratio of CD4/CD8 Bronchoalveolar Lavage Fluid Toward Extuba­tion Status And Mortality Status of Pneumonia Severe Patients In Dr. Cipto Mangunkusumo National General Hospital, Indonesia       
Gurmeet Singh, Alvina Widhani,Hamzah Shatri, Adhrie Sugiarto, Ahmad Nur Aulia  (1-14)

pdf

Kesahihan Simplified Acute Physiology Score (SAPS) 3 sebagai Prediktor Mortalitas Pneumonia Komunitas Bakterial dan Viral Berat
Mulyadi CK, Singh G, Sugiarto A, Tahapary DL (15-22)

pdf

Review Article

Aplikasi Terapi Oksigen High Flow Nasal Cannule
Singh G, Rumende CM, Dhairyanto A (23-28)

 

 pdf

Case Report

Efektivitas Ivermectin Dalam Menurunkan Risiko Mortalitas Pada Pasien Covid-19 Rawat Inap
Gurmeet Singh, Arini Ika Hapsari, Valerie Hirsy Putri (29-42)

pdf

Effectivity of High Dose Vitamin C as Adjuvant Therapy in Hospitalized COVID-19 Patient
Kevin Wijaya, Mira Yulianti (43-51)

pdf
Pengaruh Waktu Pemberian Antagonis Reseptor Il-6 Pada Pasien Covid-19 Kritis Terhadap Mortalitas Dan Perbaikan Klinis
Yehezkiel Alexander Eduard George, Gurmeet Singh (52-58)
pdf
Myasthenia Gravis with Exercise Intolerance, Low Cardiorespiratory and Muscle EnduranceTresia Fransiska Ulianna Tambunan, Carissa Putri Crisdayani (59-64) pdf
The Role of Rehabilitation Management In Intensive Care Unit Acquired Weakness
Astrid Priscilla Amanda, Melinda Harini (65-68)
pdf
Effectiveness of Vitamin D3 in The Form of Calcifediol as Addition to Standard Therapy in Inpatient COVID-19 Patients
Raihanny Andrea Zahra, Ika Prasetya Wijaya (69-76)
pdf

 

  

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