1.
Intern Med J
; 50(2): 145-150, 2020 02.
Artigo
em Inglês
| MEDLINE
| ID: mdl-32037701
Assuntos
Promoção da Saúde , Acessibilidade aos Serviços de Saúde , Programas Nacionais de Saúde , Insuficiência Renal Crônica/diagnóstico , Insuficiência Renal Crônica/prevenção & controle , Análise Custo-Benefício , Diagnóstico Precoce , Humanos , Internet , Equipe de Assistência ao Paciente , Insuficiência Renal Crônica/terapia
2.
Nephrology (Carlton)
; 25(3): 195-201, 2020 03.
Artigo
em Inglês
| MEDLINE
| ID: mdl-32061145
3.
Clin Med (Lond)
; 20(1): 107-109, 2020 01.
Artigo
em Inglês
| MEDLINE
| ID: mdl-31941743
RESUMO
Ion-exchange resins, sodium or calcium polystyrene sulfonate, are commonly used medications for management of hyperkalaemia. However, the drug can be associated with serious bowel injury. We report a case of a renal transplant recipient who developed duodenal ulcer perforation secondary to the use of calcium polystyrene sulfonate. Characteristic eosinophilic non-polarisable rhomboid shaped crystals were evident in the affected area of ulceration on histologic examination in addition to features of cytomegalovirus inclusions. We also hypothesised that gastroparesis secondary to autonomic dysfunction could have led to prolonged luminal contact time with polystyrene, further predisposing to bowel injury.