Partial recovery of renal function in patients treated by chronic dialysis
Journal Title: Polish Journal of Public Health - Year 2011, Vol 121, Issue 3
Abstract
Introduction. Renal function recovery (RFR), either complete or partial, in hemodialyzed (HD) or peritoneal dialyzed (PD) patients, is observed rather rarely. To a large extent it depends on primary disease leading to end-stage renal disease (ESRD), such as vasculitis, immunological disease associated with renal involvement, and primary malignant hypertension. Aim. The aim of our study was presentation of three patients with end-stage renal disease (ESRD), needing renal replacement therapy (RRT). After immunosuppressive treatment performed in all patients, recovery of renal function was observed. The RRT was stopped in all patients. Material and methods. The study was performed in three patients with end-stage renal disease. In two of three described cases the cause of ESRD was p-ANCA or c-ANCA positive vasculitis. In the third one the cause of ESRD was systemic lupus erythematosus (SLE) with renal involvement. In all described cases immunosuppressive therapy was performed parallelly to dialysotherapy. In two patients plasmapheresis was carried out as well. Results. As a result of applying immunosuppressive treatment, together with renal replacement therapy, we obtained in all patients significant improvement in renal function, enabling us to withdraw them from the renal replacement therapy (RRT): in two cases of the transitional omission of peritoneal dialysotherapy, in one case of permanent ceasing of the treatment with repeatable haemodialyses. Conclusions. Simultaneous application of chronic dialysis and intensive immunosuppressive treatment in patients suffering from vasculitis or systemic lupus erythematosus may lead to renal function recovery and to possibility to stopping dialysotherapy. In our study we observed renal function recovery more often in PD than in HD patients.
Authors and Affiliations
Lucyna Janicka, Agnieszka Grzebalska, Iwona Baranowicz, Wojciech Pikto-Pietkiewicz, Andrzej Książek
Keywords
Related Articles
- EP ID EP134869
- DOI -
- Views 85
- Downloads 0
Assessment of suitability of yoghurts produced in Poland for the diet of children
Introduction. A crucial element in the treatment of hypolactasia and lactose intolerance is to reduce its consumption. Other important aspects are high activity of endogenous lactase in yoghurt and a high count of lactic...
Aggression and anger levels in young psychoactive substances abusers.
[b]Aim of the study[/b]. The study aimed to assess the level of aggression and anger in young people abusing psychoactive agents. [b]Material and methods[/b]. We examined 100 individuals abusing psychoactive agents. T...
[i]Campylobacteriosis[/i] – the epidemiological situation in Poland and other European countries
Food poisoning and infections are the most common disorders that now occur all over the world. One of the human epidemiologic factors of gastrointestinal tract disorders and diseases are [i]Campylobacter[/i] spp. rods, a...
Doradca zdrowotny jako nowy kierunek kształcenia w odpowiedzi na potrzeby systemu ochrony zdrowia
W związku ze znacznymi potrzebami informacyjnymi beneficjentów ochrony zdrowia, które przy narastającym obciążeniu systemu nie mogą być w pełni zaspokajane przy użyciu dotychczasowych sił i środków, istnieje zapotrzebowa...
Health education as an important tool in the healthcare system
Health education is the main, and at the same time, integral part of complementary health promotion. The main assumption underlying the essence of health education is an assertion that the health of individuals and, cons...