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Journal of the Korean Society of Pediatric Nephrology 1997;1(2): 117-122.
지속적 외래 복막투석 직후 발생하는 비감염성 호산구성 복막염
백경훈, 전윤애, 민재홍, 박경미, 김정수, 하일수, 정해일, 최용, 고광욱
1서울대학교 의과대학 소아과학교실
2서울대학교 의과대학 소아과학교실
3서울대학교 의과대학 소아과학교실
4서울대학교 의과대학 소아과학교실
5서울대학교 의과대학 소아과학교실
6서울대학교 의과대학 소아과학교실
7서울대학교 의과대학 소아과학교실
8서울대학교 의과대학 소아과학교실
9서울대학교 의과대학 소아과학교실
Eosinophilic Peritonitis (EP) Complicated with Continuous Ambulatory Peritoneal Dialysis (CAPD)
Kyung-Hoon Paek, Yun-Ae Jeon, Jae-Hong Min, Kyung-Mi Park, Jung-Su Kim, Il-Soo Ha, Hae-Il Cheong, Yong Choi, Kwang-Wook Ko
1Department of Pediatrics, Seoul National University, College of Medicine
2Department of Pediatrics, Seoul National University, College of Medicine
3Department of Pediatrics, Seoul National University, College of Medicine
4Department of Pediatrics, Seoul National University, College of Medicine
5Department of Pediatrics, Seoul National University, College of Medicine
6Department of Pediatrics, Seoul National University, College of Medicine
7Department of Pediatrics, Seoul National University, College of Medicine
8Department of Pediatrics, Seoul National University, College of Medicine
9Department of Pediatrics, Seoul National University, College of Medicine
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ABSTRACT
Purpose : To clarify the clinical findings, laboratory findings and disease course of EP complicated with CAPD and to find out possible predisposing factors to EP.
Methods : The medical records of 34 children who underwent CAPD at our hospital between Jan. '94 and Dec. '96 were retrospectively reviewed. The clinical features and laboratory findings of EP were analyzed, and several parameters were evaluated as predisposing factors of EP.
Results : EP developed in 7(21%) out of 34 patients. The major symptom of EP was turbid peritoneal fluid without fever, abdominal pain or disturbance of drainage in all cases. The microbiologic culture studies of the peritoneal fluid resulted negative in all cases. Patients with peripheral blood eosinophilia before insertion of CAPD catheter had higher risk of EP than those without eosinophilia (P=0.002). And peripheral blood eosinophilia, noted after insertion of hemodialysis catheter in cases with previous hemodialysis before CAPD, showed significant correlation with the occurrence of EP (P=0.016), too. However, there was no significant correlation between peripheral blood eosinophilia noted after insertion of CAPD cathter and the occurrence of EP. Identification of eosinophils in peritoneal fluids was more accurate with cytospin analysis.
Conclusions : An early and accurate diagnosis of EP in patients with CAPD can prevent unnecessary treatment of antibiotics. Peripheral blood eosinophilia before insertion of CAPD catheter is one of the predisposing factors of EP. And, cytospin analysis of peritoneal fluid is an accurate method for diagnosis of EP.
Key words: Eosinophilic peritonitis | Eosinophilia | Cytospin analysis
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