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Nephrol Dial Transplant (2004) 19: 255-257
© ERA–EDTA 2003; all rights reserved

Nephroquiz
(Section Editor: M. G. Zeier)

Supported by an educational grant from

Sudden development of low tolerance of dialysis in a young female patient

Giorgina Piccoli1, Salvatore Bontempo2, Elisabetta Mezza1, Francesca Bermond1, Giorgio Soragna1, Carlo Umberto Preve2, Alberto Jeantet1, Giuseppe Paolo Segoloni1 and Tullia Todros1

1Chair of Nephrology, Department of Internal Medicine and 2Maternal–Fetal Medicine Unit, Department of Obstetrics and Gynaecology, University of Turin, Italy Email: gbpiccoli@hotmail.com

The first 10% of the full text of this article appears below.

Case

A.A. is a 34-year-old woman with a presumptive diagnosis of chronic glomerulonephritis who has been on haemodialysis for 9 months. She was referred late to the Nephrologist, and dialysis was started within 2 months from referral, when she had a creatinine clearance of 9 ml/min, severe hypertension and anaemia. Low titre antinuclear antibodies and moderately depressed C3 levels also were present at referral.

At the time when she began having the problem under discussion here, A.A. was being dialysed twice weekly and in good metabolic balance, with an adequate equivalent clearance (EKRc) >11 ml/min, with a range of 14–16 ml/min [1].

Because of the increase in her residual renal clearance to 12 ml/min, she was allowed to switch to one dialysis session per week during the . . . [Full Text of this Article]

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