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Life and Sleep Quality amongst Peritoneal Dialysis Patients: A Comparative Study
Castro,Pedro Almiro e; Correia,Ana Luísa; Mira,Filipe; Cerqueira,Sofia; Oliveira,Nuno Afonso; Maia,Pedro; Alves,RuiABSTRACT Introduction: Sleep disorders affect up to 70% of peritoneal dialysis (PD) patients and appear to have significant negative effects on their quality of life (QoL). We compared life and sleep quality between patients on automated PD (APD) and continuous ambulatory PD (CAPD). Material and Methods: Cross-sectional study in chronic PD patients followed in our Dialysis Unit in February 2022. We evaluated sl...
Systemic Lupus Concealed in the Shadow of a Primary Membranous Nephropathy Diag...
Castro,Pedro Almiro e; Mira,Filipe; Oliveira,Nuno Afonso; Alves,RuiABSTRACT A 43-year-old male patient followed for 27 years in a Nephrology consultation with negative autoimmune diagnostic workup and a histologically proven membranous nephropathy (MN), interpreted as a primary MN. During the follow-up he had multiple relapses, requiring continuous immunosuppression. Eventually, end-stage renal disease developed and the patient started hemodialysis (HD) in January 2018. Soon a...
Sodium Intake Targets in Peritoneal Dialysis Patients: A Real-Life Challenge
Castro,Pedro Almiro e; Correia,Ana Luísa; Mira,Filipe; Cerqueira,Sofia; Oliveira,Nuno Afonso; Maia,Pedro; Alves,RuiABSTRACT Introduction: Optimal fluid balance in peritoneal dialysis requires adequate urinary and peritoneal water and sodium removal and restriction of dietary sodium intake (<2 g/day). We aim to study the relationship between sodium intake, blood pressure control and medication burden in peritoneal dialysis patients. Methods: Observational, cross-sectional study of chronic peritoneal dialysis patients followe...
Thrombotic microangiopathy in a patient with a poorly controlled human immunode...
Castro,Pedro Almiro e; Oliveira,Nuno Afonso; Alves,RuiABSTRACT A 56-year-old male with a poorly controlled human immunodeficiency virus infection presents to the emergency room due to anorexia and weight loss. The patient was emaciated, hypertensive and his laboratory tests showed thrombocytopenia, anaemia, an elevated lactate dehydrogenase and an acute kidney injury. The patient was admitted to the Infecciology ward and by the fourth day, as the kidney function d...
A minimal change disease (MCD) related nephrotic syndrome preceding a Hodgkin L...
Castro,Pedro Almiro e; Oliveira,Nuno Afonso; Alves,RuiABSTRACT We admitted a 21‑year‑old female to the Nephrology ward due to proteinuria and generalized oedema, which started soon after consuming clonixin 300mg thrice a day for two weeks. Her initial blood work showed nephrotic‑range proteinuria, hypoalbuminaemia, hypercholesterolaemia and normal kidney function. We conducted a full auto‑immune and serological study: there were no signs of infection, complemente ...
Dialysis Dependency at Discharge in De Novo ANCA Associated Renal Limited Vascu...
Nogueira,Rui Filipe; Oliveira,Nuno Afonso; Gaudêncio,Margarida; Belmira,Ana; Alves,RuiABSTRACT Introduction: ANCA associated vasculitis commonly affects the kidneys. The intense inflammatory damage disrupts the glomerular architecture. Induction immunosuppressive therapy is responsible for a large part of the morbidity and mortality of these patients, due to infectious complications. This highlights the importance of defining risk factors associated with a worse renal prognosis in order to selec...