Cerebellar haemorrhage triggered by allergic reaction to maintenance haemodialysis in a patient with eosinophilia.

Autor:	Seki Y; Nephrology, Endocrinology and Vascular Medicine, Tohoku University Hospital, Sendai, Japan., Ishioka H; Nephrology, Endocrinology and Vascular Medicine, Tohoku University Hospital, Sendai, Japan., Miyazaki M; Nephrology, Endocrinology and Vascular Medicine, Tohoku University Hospital, Sendai, Japan., Okamoto K; Nephrology, Endocrinology and Vascular Medicine, Tohoku University Hospital, Sendai, Japan okamoto5-tky@umin.ac.jp.
Jazyk:	angličtina
Zdroj:	BMJ case reports [BMJ Case Rep] 2023 Feb 14; Vol. 16 (2). Date of Electronic Publication: 2023 Feb 14.
DOI:	10.1136/bcr-2022-254126
Abstrakt:	We report a case of eosinophilia and an allergic reaction that caused a cerebellar haemorrhage.An woman in her 80s presented with headache, dyspnoea and vomiting with severe hypotension soon after switching the dialysis membrane, and a CT scan revealed cerebellar haemorrhage. In the subsequent clinical course, the patient developed an allergic reaction to multiple membranes and required corticosteroids to continue haemodialysis (HD). Pre-existing eosinophilia is a risk factor for cerebral infarctions and dialysis membrane allergy, which is a common feature in patients undergoing HD. Membrane switching and corticosteroid therapy must be considered in case of multiple membrane allergies. Competing Interests: Competing interests: None declared. (© BMJ Publishing Group Limited 2023. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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