Development of Refractory Ascites during Amiodarone Therapy in a Hemodialysis Patient with Nephrogenic and Cardiogenic Ascites

作者：Wang Jenn Yeu^*; Hwang Betau; Lin Yuh Feng; Chen Jen Dar

来源：Renal Failure, 2012, 34(8): 1033-1036.

DOI：10.3109/0886022X.2012.705206

• aminodarone
• cardiogenic ascites
• hemodialysis
• hypothyroidism
• nephrogenic ascites

In this report, the clinical characteristics of a 65-year-old female patient with tricuspid regurgitation, ischemic cardiomyopathy, congestive heart failure, and chronic renal failure were retrospectively evaluated. Laboratory studies revealed cardiogenic ascites coincided with nephrogenic ascites and subclinical amiodarone-induced hypothyroidism. The ascites of the patient was responsive to management of congestive heart failure and therapeutic paracentesis during the first episode, add-on therapy with intensified hemodialysis during the second episode, and add-on therapy with low-dose eltroxin during the third episode. When nephrogenic ascites and cardiogenic ascites of maintenance hemodialysis patients become refractory, hypothyroidism should be examined in these patients.

• 出版日期2012