Abouchacra Samra, Chaaban Ahmed, Sajwani Suad, Bashir Mohammad, Beghdash Omar, Abdulle Abdishakur
Department of Nephrology, United Arab Emirates University, Al-Ain, United Arab Emirates.
Case Rep Nephrol Urol. 2013 Jan;3(1):22-7. doi: 10.1159/000349999. Epub 2013 Mar 7.
Encapsulating peritoneal sclerosis (EPS) is a rare complication of peritoneal dialysis (PD) with devastating consequences. Although it can occur among patients on PD, it may present long after PD has been discontinued; thus, its diagnosis depends on a high index of suspicion. We present a rare case of EPS in the United Arab Emirates with a protracted course and delays in recognizing the condition until after resolution of the acute attack. This case highlights the need for early identification of risk factors as well as the subtle features of EPS for appropriate diagnosis and perhaps even prevention; this being worth a ton of cure. A review of the literature including the latest evidence-based treatment options is also highlighted.
包裹性腹膜硬化(EPS)是腹膜透析(PD)的一种罕见并发症,后果严重。虽然它可发生于接受PD治疗的患者中,但可能在PD停止很久之后才出现;因此,其诊断依赖于高度的怀疑指数。我们报告了阿拉伯联合酋长国一例罕见的EPS病例,病程迁延,在急性发作缓解后才迟迟确诊。该病例强调了早期识别危险因素以及EPS细微特征对于恰当诊断甚至预防的必要性;这正所谓“预防胜于治疗”。同时还重点回顾了相关文献,包括最新的循证治疗方案。