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Case Report

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

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Pages 1033-1036 | Received 26 Mar 2012, Accepted 19 Jun 2012, Published online: 10 Aug 2012
 

Abstract

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.

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