title: Reversible posterior leukoencephalopathy syndrome after blood transfusion in a patient with end-stage renal disease.
abstract: A 42-year-old female end-stage renal disease (ESRD) patient with reversible posterior leukoencephalopathy syndrome (RPLS) post-transfusion during initiation of hemodialysis is reported. Eleven days after the onset of illness, we diagnosed encephalopathy as a grand mal seizure resulting from diffuse cerebral edema. One reason for the delayed diagnosis was that her symptom, a throbbing headache that occurred during her first dialysis, indicated dialysis disequilibrium syndrome. We must bear in mind that a small amount of transfusion could cause RPLS even during the first dialysis. To our knowledge, this is the first case report on RPLS after blood transfusion in an ESRD patient.
authors: Division of Nephrology, Department of Internal Medicine, Showa University Fujigaoka Hospital, 1-30 Fujigaoka, Aoba-ku, Yokohama, Japan. y_s@d2.dion.ne.jp
authors: Yoshinori
authors: Y
authors: Sato
authors: Makoto
authors: M
authors: Hirose
authors: Yoshihiko
authors: Y
authors: Inoue
authors: Daisuke
authors: D
authors: Komukai
authors: Mamiko
authors: M
authors: Takayasu
authors: Eri
authors: E
authors: Kawashima
authors: Fumihiko
authors: F
authors: Koiwa
authors: Ashio
authors: A
authors: Yoshimura
mesh_terms: D000328:Adult; D000740:Anemia / Q000209:etiology / Q000628:therapy*; D001929:Brain Edema / Q000209:etiology; D002533:Cerebral Angiography / Q000379:methods; D057210:Delayed Diagnosis; D038524:Diffusion Magnetic Resonance Imaging; D004830:Epilepsy, Tonic-Clonic / Q000209:etiology; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D005990:Glycerol / Q000627:therapeutic use; D006261:Headache / Q000209:etiology; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000628:therapy*; D008775:Methylprednisolone / Q000627:therapeutic use; D054038:Posterior Leukoencephalopathy Syndrome / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D006435:Renal Dialysis / Q000009:adverse effects*; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D065227:Transfusion Reaction; D016896:Treatment Outcome
chemical_list: D005938:Glucocorticoids; D005990:Glycerol; D008775:Methylprednisolone