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1.
Korean Journal of Nephrology ; : 1020-1025, 2004.
Artigo em Coreano | WPRIM | ID: wpr-214068

RESUMO

With the increasing use of PD as a replacement therapy in chronic renal failure, the number of complications related to PD also has increased. One of these is hydrothorax associated with pleuroperitoneal communications. Diagnosis is based upon confirming that the fluid in pleural space is dialysate. The chemical characteristics of the pleural fluid can help diagnose dialysate in pleural space. One can use dialysate mixed with dye (methylene blue, indigo). Peritoneographies with contrast and radionucleotides are safe, accurate, and reliable methods of diagnosing peritoneal defects. While these substances do not damage the peritoneum, their diffusion is low. We report 2 cases of hydrothorax associated with pleuroperitoneal communications in CAPD patients. We employed CT peritoneography and peritoneoscintigraphy to diagnose the hydrothorax associated with pleuroperitoneal leak.


Assuntos
Humanos , Diagnóstico , Difusão , Hidrotórax , Falência Renal Crônica , Diálise Peritoneal Ambulatorial Contínua , Peritônio
2.
The Journal of the Korean Rheumatism Association ; : 179-182, 2004.
Artigo em Coreano | WPRIM | ID: wpr-113041

RESUMO

Malignancy may cause variable musculoskeletal symptoms which resemble connective tissue disorder. This symptoms as a fine sign of hidden neoplasm can precede the diagnosis of underlying malignancy. But only one case of stomach cancer associated with cancer arthritis was reported in the world. This fact is very interesting in Asia which has high prevalence of stomach cancer. We experienced one case of gastric adenocarcinoma with oligoarthritis involving both knee and right elbow. A 48-year-old man was diagnosed stomach cancer by gastric endoscope and biopsy. After then, he complained pain, tenderness, heating sensation, swelling of both knee and right elbow with high fever. Both knee MRI showed abundant synovial effusion and soft tissue edema. Full dose of nonsteroidal anti-inflammatory drug was not effective to control fever and arthritis. But fever and arthritis were gone after resection of tumor.


Assuntos
Humanos , Pessoa de Meia-Idade , Adenocarcinoma , Artrite , Ásia , Biópsia , Tecido Conjuntivo , Diagnóstico , Edema , Cotovelo , Endoscópios , Febre , Calefação , Temperatura Alta , Joelho , Imageamento por Ressonância Magnética , Prevalência , Sensação , Neoplasias Gástricas
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