El Amrani M, El Kharras A, Asserraji M
Department of Nephrology and Dialysis, First Medical and Surgical Center, Agadir, Morocco.
Department of Radiology, First Medical and Surgical Center, Agadir, Morocco.
Indian J Nephrol. 2014 Jan;24(1):38-40. doi: 10.4103/0971-4065.125069.
Diagnosis of chronic inflammatory syndrome is often a challenge. In dialysis patients, this condition leads to resistance to recombinant human erythropoietin (rHuEPO). We here report a case of a 72-year-old male undergoing chronic hemodialysis and developed rHuEPO resistance without any obvious etiology. Investigations showed a partially thromosed aneurysm of the infrarenal aorta. Antiplatelet therapy was started with a satisfactory outcome.
慢性炎症综合征的诊断常常具有挑战性。在透析患者中,这种情况会导致对重组人促红细胞生成素(rHuEPO)产生抵抗。我们在此报告一例72岁男性慢性血液透析患者,该患者出现了rHuEPO抵抗且无任何明显病因。检查显示肾下腹主动脉有部分血栓形成的动脉瘤。开始抗血小板治疗,结果令人满意。