Combined dialysis and plasma-exchange in acute renal failure. 1993

N E Montemurro, and A Di Maggio, and P Strippoli, and F Coviello, and F Godino, and G Miloro, and A Scatizzi
Division of Nephrology, Regional Hospital, Taranto, Italy.

Combined use of plasma-exchange and dialysis therapy in 3 different cases of acute renal failure is presented. The first is a case of acute renal failure due to rhabdomyolysis caused by hemlock poisoning. Plasma-exchange was effective in improving the signs of rhabdomyolysis and renal failure. The second is a case of acute renal failure in an IgG-kappa myeloma. After 9 sessions of plasma-exchange, performed simultaneously with CAPD, a significant fall in the plasma and urine light chains levels was obtained. After the recovery of normal renal function, CAPD was prosecuted to remove light chains. The last is a case of acute renal failure in a patient with a mesangiocapillary nephritis and a high level of circulating immune complexes (CIC). He underwent steroid therapy and daily sessions of hemodialysis, followed by plasma-exchange, which permitted a fall of the CIC level, until a normal renal function was achieved. In conclusion, plasma-exchange combined with dialysis, is an useful tool for the management of acute renal failure caused by toxic proteins.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009846 Oliguria Decreased URINE output that is below the normal range. Oliguria can be defined as urine output of less than or equal to 0.5 or 1 ml/kg/hr depending on the age. Oligurias
D010951 Plasma Exchange Removal of plasma and replacement with various fluids, e.g., fresh frozen plasma, plasma protein fractions (PPF), albumin preparations, dextran solutions, saline. Used in treatment of autoimmune diseases, immune complex diseases, diseases of excess plasma factors, and other conditions. Exchange, Plasma,Exchanges, Plasma,Plasma Exchanges
D001781 Blood Component Removal Any procedure in which blood is withdrawn from a donor, a portion is separated and retained, at the same time the remainder is returned to the donor. Apheresis,Pheresis,Aphereses,Blood Component Removals,Phereses,Removal, Blood Component
D001798 Blood Proteins Proteins that are present in blood serum, including SERUM ALBUMIN; BLOOD COAGULATION FACTORS; and many other types of proteins. Blood Protein,Plasma Protein,Plasma Proteins,Serum Protein,Serum Proteins,Protein, Blood,Protein, Plasma,Protein, Serum,Proteins, Blood,Proteins, Plasma,Proteins, Serum
D003131 Combined Modality Therapy The treatment of a disease or condition by several different means simultaneously or sequentially. Chemoimmunotherapy, RADIOIMMUNOTHERAPY, chemoradiotherapy, cryochemotherapy, and SALVAGE THERAPY are seen most frequently, but their combinations with each other and surgery are also used. Multimodal Treatment,Therapy, Combined Modality,Combined Modality Therapies,Modality Therapies, Combined,Modality Therapy, Combined,Multimodal Treatments,Therapies, Combined Modality,Treatment, Multimodal,Treatments, Multimodal
D005260 Female Females
D006435 Renal Dialysis Therapy for the insufficient cleansing of the BLOOD by the kidneys based on dialysis and including hemodialysis, PERITONEAL DIALYSIS, and HEMODIAFILTRATION. Dialysis, Extracorporeal,Dialysis, Renal,Extracorporeal Dialysis,Hemodialysis,Dialyses, Extracorporeal,Dialyses, Renal,Extracorporeal Dialyses,Hemodialyses,Renal Dialyses
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

Related Publications

N E Montemurro, and A Di Maggio, and P Strippoli, and F Coviello, and F Godino, and G Miloro, and A Scatizzi
January 1981, Minerva nefrologica,
N E Montemurro, and A Di Maggio, and P Strippoli, and F Coviello, and F Godino, and G Miloro, and A Scatizzi
November 1968, Journal of the Irish Medical Association,
N E Montemurro, and A Di Maggio, and P Strippoli, and F Coviello, and F Godino, and G Miloro, and A Scatizzi
October 2012, Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy,
N E Montemurro, and A Di Maggio, and P Strippoli, and F Coviello, and F Godino, and G Miloro, and A Scatizzi
July 1983, The International journal of artificial organs,
N E Montemurro, and A Di Maggio, and P Strippoli, and F Coviello, and F Godino, and G Miloro, and A Scatizzi
May 1984, Presse medicale (Paris, France : 1983),
N E Montemurro, and A Di Maggio, and P Strippoli, and F Coviello, and F Godino, and G Miloro, and A Scatizzi
June 2022, Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy,
N E Montemurro, and A Di Maggio, and P Strippoli, and F Coviello, and F Godino, and G Miloro, and A Scatizzi
August 2015, Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy,
N E Montemurro, and A Di Maggio, and P Strippoli, and F Coviello, and F Godino, and G Miloro, and A Scatizzi
January 1990, Progress in clinical and biological research,
N E Montemurro, and A Di Maggio, and P Strippoli, and F Coviello, and F Godino, and G Miloro, and A Scatizzi
November 2011, Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association,
N E Montemurro, and A Di Maggio, and P Strippoli, and F Coviello, and F Godino, and G Miloro, and A Scatizzi
June 2003, Critical care medicine,
Copied contents to your clipboard!