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Pericardial effusion in the nephrotic syndrome

Item Type:Article
Title:Pericardial effusion in the nephrotic syndrome
Creators Name:Goebel, U. and Mauersberger, B. and Kettritz, R. and Bohlender, J. and Luft, F.C.
Abstract:Hydropericardium is a known cause of pericardial effusion related to severely expanded extracellular fluid volume. Nephrotic patients have expanded extracellular fluid volume but obviously may have other causes for pericardial effusion. We tested the hypothesis that pericardial effusion is related to inflammation and not to hydropericardium in patients with nephrotic syndrome. Twenty nephrotic patients with systemic lupus erythematosus (SLE) were compared to 20 patients with nephrotic syndrome of other causes. No patient in either group had symptoms or signs of pericardial disease. Pleural effusion and ascites were equally common in SLE-nephrotic patients compared to non-SLE-nephrotic patients. However, 8 SLE patients had pericardial effusion, while none of the non-SLE-nephrotic patients had pericardial effusion. We suggest that hydropericardium is rare in nephrotic patients and that an inflammatory or other secondary cause should be considered when pericardial effusion complicates nephrotic syndrome.
Keywords:Pericardial Effusion, Nephrotic Syndrome, Hydropericardiu, Systemic Lupus Erythematosus (SLE)
Source:Clinical Nephrology
Page Range:329-332
Date:November 2002
Official Publication:https://doi.org/10.5414/CNP58329
PubMed:View item in PubMed

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