title: Development of Acute Pericarditis Associated with New-onset Rheumatoid Arthritis in a Diabetic Patient with Renal Impairment: The Elusive Nature of Uremia.
abstract: Uremic patients may have a variety of organ involvement, however, the precise causality may be impossible to determine in some cases because the symptoms of uremia are also associated with other diseases. With an emphasis on the elusive nature of uremia, we herein describe a 53-year-old man with preexisting renal impairment who developed acute pericarditis with deterioration of his renal function. Hemodialysis was immediately initiated on the presumption of uremia, however, articular symptoms emerged approximately a month later and led to a final diagnosis of rheumatoid arthritis, followed by successful withdrawal of hemodialysis.
authors.affiliation: Division of Nephrology, Department of Medicine, Jichi Medical University, Japan.
authors.forename: Marina
authors.initials: M
authors.lastname: Kohara
authors.forename: Shin-ichi
authors.initials: S
authors.lastname: Takeda
authors.forename: Takuya
authors.initials: T
authors.lastname: Miki
authors.forename: Ken
authors.initials: K
authors.lastname: Ohara
authors.forename: Yuko
authors.initials: Y
authors.lastname: Yamanaka
authors.forename: Mutsumi
authors.initials: M
authors.lastname: Kawamata
authors.forename: Erika
authors.initials: E
authors.lastname: Hishida
authors.forename: Natsuko
authors.initials: N
authors.lastname: Wakabayashi
authors.forename: Tomoyuki
authors.initials: T
authors.lastname: Yamazaki
authors.forename: Masaru
authors.initials: M
authors.lastname: Ichida
authors.forename: Tetsu
authors.initials: T
authors.lastname: Akimoto
authors.forename: Shigeaki
authors.initials: S
authors.lastname: Muto
authors.forename: Daisuke
authors.initials: D
authors.lastname: Nagata
mesh_terms: D000208:Acute Disease; D001172:Arthritis, Rheumatoid / Q000150:complications* / Q000175:diagnosis*; D003928:Diabetic Nephropathies / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010493:Pericarditis / Q000150:complications* / Q000175:diagnosis; D006435:Renal Dialysis; D051437:Renal Insufficiency / Q000150:complications* / Q000628:therapy; D014511:Uremia / Q000150:complications*