Intrapericardial triamcinolone hexacetonide in the treatment of intractable uremic pericarditis in a child.
Uremic pericarditis in children on chronic hemodialysis represents a difficult management problem, necessitating vigorous medical therapy and often surgical drainage of the pericardial effusion. Standard therapeutic approaches have met with limited success. The successful use of intrapericardial triamcinolone in a 10-year anephric boy on chronic dialysis is reported and accompanied by a description of the technique applied and literature review.
Medani
C R
CR
Department of Pediatrics, University of Maryland School of Medicine, Baltimore 21201.
Ringel
R E
RE
D006328:Cardiac Catheterization; D002648:Child; D006463:Hemolytic-Uremic Syndrome / Q000150:complications / Q000628:therapy; D006801:Humans; D008297:Male; D010490:Pericardial Effusion / Q000188:drug therapy / Q000209:etiology; D010493:Pericarditis / Q000188:drug therapy* / Q000209:etiology; D010496:Pericardium; D006435:Renal Dialysis / Q000009:adverse effects; D014222:Triamcinolone Acetonide / Q000008:administration & dosage / Q000031:analogs & derivatives*; D014511:Uremia / Q000150:complications* / Q000628:therapy
D014222:Triamcinolone Acetonide; C005900:triamcinolone hexacetonide