title: Development of refractory ascites during amiodarone therapy in a hemodialysis patient with nephrogenic and cardiogenic ascites.
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.
authors.affiliation: Division of Nephrology and Division of Occupational Medicine, Department of Medicine, Taipei City Hospital, Zhongxiao Campus, Taipei City, Taiwan, ROC. nephrol@ms19.hinet.net
authors.forename: Jenn Yeu
authors.initials: JY
authors.lastname: Wang
authors.forename: Betau
authors.initials: B
authors.lastname: Hwang
authors.forename: Yuh Feng
authors.initials: YF
authors.lastname: Lin
authors.forename: Jen-Dar
authors.initials: JD
authors.lastname: Chen
mesh_terms: D000368:Aged; D000638:Amiodarone / Q000009:adverse effects*; D001201:Ascites / Q000209:etiology*; D005260:Female; D006333:Heart Failure / Q000150:complications* / Q000628:therapy; D006801:Humans; D007037:Hypothyroidism / Q000139:chemically induced* / Q000175:diagnosis; D007676:Kidney Failure, Chronic / Q000150:complications* / Q000628:therapy; D019152:Paracentesis; D006435:Renal Dialysis; D012189:Retrospective Studies
chemical_list: D000638:Amiodarone