Development of @entity101 in XXXX with uremia under hemodialysis: a case report and discussions on its etiology.

@entity1 @entity390 @entity101 @entity417 @entity1372 @entity2791 @entity551 @entity2629 @entity1277 @entity989 @entity916 @entity631 @entity2753
A @entity1 , now 28 years old, was diagnosed 6 years ago as chronic @entity631 by renal biopsy. From August 15, 1975 she complained of @entity390 , @entity1277 and weight (about 7 kg within 2 weeks). Severe @entity101 (200/130 mmHg), @entity2753 (123 mEq/liter), @entity417 , elevated plasma @entity916 activity (PRA), advanced @entity2629 , and eye ground changes of KW-II were found. Dialysis treatment was started on September 2, 1975. From November 1975 massive amounts of @entity1372 (5,000 mEq or more monthly) and water (26 liters or more monthly) were removed by the dialysis. These intensive dialyses resulted in an elevated PRA with recurrence of severe @entity101 . At the end of March 1976 she became almost blind with @entity989 of KW-IV. Potent @entity551 drugs including beta-blockers were administered, but no improvements were obtained. On March 31, 1976 nephrectomy was performed to save her life. Marked hyalinization of glomeruli and heavy thickening of intima in interlobular arteries were found in the removed kidneys. @entity2791 was not recognized either macroscopically or histologically. In this @entity1 , the amount of @entity1372 removed by the dialysis was dependent on her diastolic blood pressure and @entity1372 concentration of the dialysis. It may be concluded that too enthusiastic dialysis may develop @entity101 due to excessive @entity916 release.
