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Published on: July 19, 2018
A "sweet" hydrothorax in a child on peritoneal dialysis
D Gidaris1, N Printza1, S Batzios1
11 Paediatric Clinic, Hippokratio General Hospital, Aristotle University of Thessaloniki, Thessaloniki, GREECE.
Insights
A rare complication of peritoneal dialysis (PD) in children, hydrothorax, is highlighted through a case study. This review aims to increase pediatrician awareness of this condition in pediatric end-stage renal disease patients undergoing PD.
Area of Science:
- Pediatric Nephrology
- Pulmonology
- Renal Replacement Therapy
Background:
- Peritoneal dialysis (PD) is a vital long-term treatment for pediatric end-stage renal disease (ESRD).
- Hydrothorax, a pleural effusion, is an uncommon but serious complication of PD in children.
- Automated PD (APD) is frequently used in pediatric ESRD management.
Observation:
- An 8-year-old boy undergoing APD developed a right-sided pleural effusion.
- The case highlights the diverse clinical presentations of PD-associated hydrothorax.
- Diagnostic challenges and tools for identifying hydrothorax in pediatric PD patients were reviewed.
Findings:
- The study reviews potential etiologies for hydrothorax in pediatric PD patients.
- Treatment strategies for PD-induced hydrothorax are discussed.
- Early recognition and management are crucial for favorable outcomes.
Implications:
- Increased awareness among pediatricians is essential for prompt diagnosis and management of PD-related hydrothorax.
- Understanding the diverse presentations and etiologies can improve patient care.
- This review provides insights into diagnostic and therapeutic options for this rare complication.
Abstract:
Peritoneal dialysis (PD) is an established, effective long term renal replacement treatment modality for children with end stage renal disease (ESRD). A rarely reported complication of PD in children is the development of hydrothorax1. We report the case of an 8-year-old boy that developed a right-sided pleural effusion during automated PD (APD), in order to raise awareness amongst paediatricians; we also review the diversity of clinical presentation and the available diagnostic tools, discuss theories regarding aetiology and highlight the available treatment options.
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