Polycythemia in a Pediatric Patient with Chronic Kidney Disease: Overuse of Erythropoetin During COVID-19 Isolation
Turkish Journal of Pediatric Disease
; 15(5):434-436, 2021.
Article
in English
| EMBASE | ID: covidwho-2231627
ABSTRACT
We describe a case of a patient with Chronic Kidney Disease who developed polycythemia due to Erythropoiesis Stimulating Agents overuse during COVID-19 isolation. A 12-year-old male had not been able to attend routine controls since had been in isolation for 4 months after the COVID-19 outbreak. He had continued to take Erythropoiesis-Stimulating Agents during that period at the starting dose of 150 U/kg/week. He had been on peritoneal dialysis in the last year because of end-stage renal failure. Laboratory investigation revealed a hemoglobin (Hb) level of 20.8 g/dl, hematocrit level of 66%, creatinine level of 6.5 mgr/dl. He underwent daily phlebotomy sessions (10cc/kg/session). During this period aspirin was also started (5mg/kg). After 5 sessions his Hb level decreased to 14 gr/dl and hematocrit to 40%. Pediatric nephrologist should be aware that there is a potential risk of polycythemia with Erythropoiesis Stimulating Agents when Hb level is not appropriately followed on a routine basis. Copyright © 2021 Ankara Pediatric Hematology Oncology Training and Research Hospital. All rights reserved.
Chronic Kidney Disease; Erythrocyte Stimulating Agent; Polycythemia; adverse drug reaction; article; case report; child; chronic kidney failure; clinical article; coronavirus disease 2019; drug overdose; end stage renal disease; erythrocyte; hematocrit; hemoglobin blood level; human; male; nephrologist; pediatric patient; peritoneal dialysis; phlebotomy; school child; side effect; surgery; acetylsalicylic acid; antianemic agent; central stimulant agent; creatinine; endogenous compound; erythropoietin
Full text:
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Collection:
Databases of international organizations
Database:
EMBASE
Type of study:
Observational study
/
Prognostic study
Language:
English
Journal:
Turkish Journal of Pediatric Disease
Year:
2021
Document Type:
Article
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