L. N. Feingold, M.D.; F. X. Walsh, M.D.; R. A. Gutman, M.D., F.A.C.P.; J. C. Gunnells, M.D., F.A.C.P.; R. R. Robinson, M.D., F.A.C.P.
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Nine patients on repetitive hemodialysis have died after the appearance of progressive cachexia, loss of lean body mass, and ascites of uncertain cause. All patients had hypertension that responded poorly to control of extracellular fluid volume and drugs. Five patients had a long-standing history of severe hypertension prior to dialysis. Cardiac catheterization in two patients, peritoneal membrane biopsy in two, estimates of gastrointestinal protein loss in three, measurements of protein concentration in ascitic fluid (1 to 6 g/100 ml), and postmortem examination in six, showed no explanation for either ascites or cachexia. Peritoneal infection during antecedent peritoneal dialysis had occurred
Feingold LN, Walsh FX, Gutman RA, Gunnells JC, Robinson RR. Control of Cachexia and Ascites During Chronic Hemodialysis by Bilateral Nephrectomy.. Ann Intern Med. 1973;78:829. doi: 10.7326/0003-4819-78-5-829_2
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Published: Ann Intern Med. 1973;78(5):829.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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