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inflammation of the pericardium

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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2013/08/25 01:23:34」(JST)

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Uremic pericarditis is a form of pericarditis. It causes fibrinous pericarditis.^[1]

Presentation[edit source | edit]

Fibrinous pericarditis is an exudative inflammation. The pericardium is infiltrated by the fibrinous exudate. This consists of fibrin strands and leukocytes. Fibrin describes an amorphous, eosinophilic (pink) network. Leukocytes (white blood cells; mainly neutrophils) are found within the fibrin deposits and intrapericardic. Vascular congestion is also present. Inflammatory cells do not penetrate the myocardium (as is seen with other presentations of pericarditis), and as a result, this particular variant does not present with diffuse ST elevation on ECG (a classic sign of pericarditis known as stage I ECG changes which are seen with other etiologies).^[1] To naked eye examination, this pathology is referred to as having a "Bread and Butter Appearance".

Treatment[edit source | edit]

It is sometimes treated with dialysis.^[2]

References[edit source | edit]

^ ^a ^b "CIN'2003. Agarwal: UREMIC PERICARDITIS". Retrieved 2009-03-14.
^ Rivera M, Teruel JL, Marcén R, Ortuño J (2000). "Intensive continuous peritoneal dialysis as treatment of uremic pericarditis". Perit Dial Int 20 (6): 803. PMID 11216584. ^{[dead link]}

UpToDate Contents

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English Journal

Uremic pericarditis: a report of 30 cases and review of the literature.

Sadjadi SA1, Mashahdian A1.
The American journal of case reports.Am J Case Rep.2015 Mar 22;16:169-73. doi: 10.12659/AJCR.893140.
PATIENT: Male, 71 • Male, 69 • . Female, 49.FINAL DIAGNOSIS: Uremic pericarditis.SYMPTOMS: —MEDICATION: —CLINICAL PROCEDURE: Hemodialysis.SPECIALTY: Nephrology.OBJECTIVE: Rare disease.BACKGROUND: Uremic pericarditis, common at one time among dialysis patients, has become a rare entity in rec
PMID 25796283

Pericarditis in uremic patients: serum albumin and size of pericardial effusion predict drainage necessity.

Bataille S1, Brunet P, Decourt A, Bonnet G, Loundou A, Berland Y, Habib G, Vacher-Coponat H.
Journal of nephrology.J Nephrol.2015 Feb;28(1):97-104. doi: 10.1007/s40620-014-0107-7. Epub 2014 May 20.
BACKGROUND: Pericardial effusion in uremic patients (UPE) was first described by R. Bright in 1836. It is generally agreed that patients require emergency pericardial drainage when tamponade signs are present, but in patients with no tamponade the optimal timing for drainage remains unclear.METHODS:
PMID 24840780

Images in clinical medicine. Uremic pericarditis.

Khan I1, McCreery C.
The New England journal of medicine.N Engl J Med.2013 Sep 26;369(13):e17. doi: 10.1056/NEJMicm1203491.
PMID 24066764

Japanese Journal

連日透析後1回の心嚢穿刺で劇的な軽快を得た, 尿毒症性心外膜炎による心タンポナーデの1例

日本透析医学会雑誌 = Journal of Japanese Society for Dialysis Therapy 42(10), 791-796, 2009-10-28
NAID 10026315620

透析導入直後に尿毒症性心外膜炎による心タンポナーデを合併した糖尿病性腎症の1例

日本透析医学会雑誌 = Journal of Japanese Society for Dialysis Therapy 40(7), 609-615, 2007-07-28
NAID 10019966754

Predictors of Regression of Mitral Regurgitation in Uremic Cardiomyopathy Following Kidney Transplantation(Valvular Heart Disease/Pericarditis/Cardiac Tumor 1 (M), The 69th Annual Scientific Meeting of the Japanese Circulation Society)

Circulation journal : official journal of the Japanese Circulation Society 69(Supplemnt_I), 170, 2005-03-01
NAID 110004052171