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Case Report On The Diagnostic Challenge In Pediatric Hemodialysis Patients: Hypersensitivity Reaction To Synthetic Membranes by A. Gonzalez Ruvalcaba; S. Gonzalez-Diaz; H. Hernandez-Sanchez; R. Villarreal Gonzalez; J. Uc Rosado; T. Delgado Guzmán is a Medicine article available to read on EtoBox.
What is Case Report On The Diagnostic Challenge In Pediatric Hemodialysis Patients: Hypersensitivity Reaction To Synthetic Membranes about?
Introduction Hypersensitivity reactions dependent not only on IgE during hemodialysis there are more reported and frequently in patients dialyzed with biocompatible polysulfone or polyethersulfone membranes in absence of other risk factors. Describing multiple pathogenic mechanisms. We present the diagnostic approach to a pediatric patient with clinical manifestations of hypersensitivity during hemodialysis. Case Description Nine-year-old male with history of myelomeningocele corrected at ten days of life. Currently with stage V chronic kidney disease, bilateral hydronephrosis and neurogenic bladder, requiring intermittent treatment with peritoneal dialysis. February 2022, started hemodialysis and during third session, presented urticaria, angioedema, pruritus, and dyspnea within 30 minutes. Session was suspended and antihistamine administered, without new or different medications to those used in previous sessions. Next session, was premedicated with antihistamine and intravenous steroid, which within 5 minutes of onset presented same symptoms, hemodialysis was stopped and symptoms decreased with the application of antihistamine, changing to cellulose triacetate membrane, allowing
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- Author
- A. Gonzalez Ruvalcaba; S. Gonzalez-Diaz; H. Hernandez-Sanchez; R. Villarreal Gonzalez; J. Uc Rosado; T. Delgado Guzmán
- Publisher
- Elsevier BV
- Published
- 2022
- Language
- EN
- Field
- Medicine (Health Sciences)