title: [Stimulated sweating in order to improve the water-and-salt balance in hemodialysis patients. A case report].
abstract: Obtaining the desired dry weight in dialysis patients is challenging once residual diuresis has disappeared, considering the trend of increasing dietary salt intake and shortening dialysis time over the last 40 years. We describe the case of a 55-year-old patient of Sudanese origin, who presented excessive interdialytic weight gain and hypertension on maintenance hemodialysis. After failure of conservative measures, a therapy of daily hot water baths of 30 minutes each on non-dialysis days was introduced. All clinical parameters improved, including potassium profile. In this article, we review the history, pathophysiological mechanisms, efficacy and possible side effects of this interesting, somewhat forgotten technique.
authors.affiliation: Service de néphrologie et consultation d'hypertension, division de néphrologie, département de médecine, centre hospitalier universitaire Vaudois (CHUV), 17, rue du Bugnon, 1011 Lausanne, Suisse.
authors.forename: Youssef
authors.initials: Y
authors.lastname: El-Housseini
authors.forename: Hichem
authors.initials: H
authors.lastname: Mahfoudh
authors.forename: Fayçal
authors.initials: F
authors.lastname: Jarraya
authors.forename: Jamil
authors.initials: J
authors.lastname: Hachicha
authors.forename: Daniel
authors.initials: D
authors.lastname: Teta
authors.forename: Michel
authors.initials: M
authors.lastname: Burnier
authors.forename: Menno
authors.initials: M
authors.lastname: Pruijm
mesh_terms: D003937:Diagnosis, Differential; D006801:Humans; D006973:Hypertension / Q000209:etiology* / Q000628:therapy; D007676:Kidney Failure, Chronic / Q000150:complications / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis / Q000009:adverse effects*; D013546:Sweating / Q000502:physiology*; D016896:Treatment Outcome; D014882:Water-Electrolyte Balance; D014883:Water-Electrolyte Imbalance / Q000209:etiology* / Q000628:therapy; D015430:Weight Gain