title: [A case of encapsulating peritoneal sclerosis after fifteen years of peritoneal dialysis with a favorable outcome].
abstract: Encapsulating peritoneal sclerosis (EPS) represents a critical complication of peritoneal dialysis (PD). EPS is characterized by abdominal discomfort, often leading to fatal outcomes with limited pharmaceutical and surgical options. Herein is described a case of EPS with a favorable outcome in an African male treated with PD for 15 years. Repeated courses of prednisone and tamoxifen significantly attenuated the abdominal symptoms and the peritoneal membrane thickening. This case suggests a time dependent effect of medical treatment encouraging clinical efforts to maintain a mild immunosuppressant regimen and tamoxifen in the presence of EPS also on the long run. Future and ad hoc studies should test this hypothesis.
authors.forename: Gennaro
authors.initials: G
authors.lastname: Santorelli
authors.forename: Antonio
authors.initials: A
authors.lastname: Bellasi
authors.forename: Piercarlo
authors.initials: P
authors.lastname: Salari
authors.forename: Antonina
authors.initials: A
authors.lastname: Lo Cicero
authors.forename: Luigi
authors.initials: L
authors.lastname: Del Giudice
authors.forename: Chiara
authors.initials: C
authors.lastname: Venturelli
authors.forename: Napolitano
authors.initials: N
authors.lastname: Francesco
authors.forename: Mario
authors.initials: M
authors.lastname: Cozzolino
authors.forename: Andrea
authors.initials: A
authors.lastname: Galassi
mesh_terms: D000328:Adult; D005938:Glucocorticoids / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D010530:Peritoneal Dialysis; D056627:Peritoneal Fibrosis / Q000188:drug therapy*; D011241:Prednisone / Q000627:therapeutic use*; D012074:Remission Induction; D013629:Tamoxifen / Q000627:therapeutic use*; D013997:Time Factors
chemical_list: D005938:Glucocorticoids; D013629:Tamoxifen; D011241:Prednisone