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Development of Acute Pericarditis Associated with New-onset Rheumatoid Arthritis in a Diabetic Patient with Renal Impairment: The Elusive Nature of Uremia.

作者信息

Kohara Marina, Takeda Shin-ichi, Miki Takuya, Ohara Ken, Yamanaka Yuko, Kawamata Mutsumi, Hishida Erika, Wakabayashi Natsuko, Yamazaki Tomoyuki, Ichida Masaru, Akimoto Tetsu, Muto Shigeaki, Nagata Daisuke

机构信息

Division of Nephrology, Department of Medicine, Jichi Medical University, Japan.

出版信息

Intern Med. 2016;55(8):955-9. doi: 10.2169/internalmedicine.55.5438. Epub 2016 Apr 15.

Abstract

Uremic patients may have a variety of organ involvement, however, the precise causality may be impossible to determine in some cases because the symptoms of uremia are also associated with other diseases. With an emphasis on the elusive nature of uremia, we herein describe a 53-year-old man with preexisting renal impairment who developed acute pericarditis with deterioration of his renal function. Hemodialysis was immediately initiated on the presumption of uremia, however, articular symptoms emerged approximately a month later and led to a final diagnosis of rheumatoid arthritis, followed by successful withdrawal of hemodialysis.

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