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Martino FK, Pini S, Scaparrotta G, Schirinzi M, Gnappi M, Fragasso A, Zanella R, Naso E, De Giorgi ML, Carraro G, Nalesso F, Calò LA. Recombinant Varicella Zoster vaccine in haemodialysis facilities: adherence and safety. J Nephrol 2023; 36:2155-2158. [PMID: 37392330 DOI: 10.1007/s40620-023-01690-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2023] [Accepted: 05/23/2023] [Indexed: 07/03/2023]
Affiliation(s)
- Francesca K Martino
- Nephrology, Dialysis, Transplantation Unit, Department of Medicine (DIMED), University of Padova, Via Giustiniani, 2, 35128, Padua, Italy
| | - Stefano Pini
- Nephrology, Dialysis, Transplantation Unit, Department of Medicine (DIMED), University of Padova, Via Giustiniani, 2, 35128, Padua, Italy
| | - Giuseppe Scaparrotta
- Nephrology, Dialysis, Transplantation Unit, Department of Medicine (DIMED), University of Padova, Via Giustiniani, 2, 35128, Padua, Italy
| | - Marilena Schirinzi
- Nephrology, Dialysis, Transplantation Unit, Department of Medicine (DIMED), University of Padova, Via Giustiniani, 2, 35128, Padua, Italy
| | - Maddalena Gnappi
- Nephrology, Dialysis, Transplantation Unit, Department of Medicine (DIMED), University of Padova, Via Giustiniani, 2, 35128, Padua, Italy
| | - Antonio Fragasso
- Nephrology, Dialysis, Transplantation Unit, Department of Medicine (DIMED), University of Padova, Via Giustiniani, 2, 35128, Padua, Italy
| | - Ruggero Zanella
- Nephrology, Dialysis, Transplantation Unit, Department of Medicine (DIMED), University of Padova, Via Giustiniani, 2, 35128, Padua, Italy
| | - Elena Naso
- Nephrology, Dialysis, Transplantation Unit, Department of Medicine (DIMED), University of Padova, Via Giustiniani, 2, 35128, Padua, Italy
| | - Maria Loreta De Giorgi
- Nephrology, Dialysis, Transplantation Unit, Department of Medicine (DIMED), University of Padova, Via Giustiniani, 2, 35128, Padua, Italy
| | - Gianni Carraro
- Nephrology, Dialysis, Transplantation Unit, Department of Medicine (DIMED), University of Padova, Via Giustiniani, 2, 35128, Padua, Italy
| | - Federico Nalesso
- Nephrology, Dialysis, Transplantation Unit, Department of Medicine (DIMED), University of Padova, Via Giustiniani, 2, 35128, Padua, Italy
| | - Lorenzo A Calò
- Nephrology, Dialysis, Transplantation Unit, Department of Medicine (DIMED), University of Padova, Via Giustiniani, 2, 35128, Padua, Italy.
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Vertolli U, Ruffatti A, Loreta De Giorgi M, Scapin V, Naso A, Calò LA. A very unusual case of hypokalaemia. Clin Kidney J 2013; 6:87-89. [PMID: 27818758 PMCID: PMC5094405 DOI: 10.1093/ckj/sfs177] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2012] [Accepted: 12/03/2012] [Indexed: 11/25/2022] Open
Abstract
Cystic fibrosis (CF) is diagnosed in the first years of life. There are only two reports in the literature of adult patients with unusual presentation of newly diagnosed CF. We report here an adult patient apparently in a good health, who presented with serious hypokalaemia and metabolic alkalosis as the only abnormalities, who, through a fortuitous event, was tested by additional means for seemingly unrelated conditions that led to evidence of signs typical of CF, which was then confirmed by genetic analyses. This is the first adult patient in Italy with newly diagnosed CF. As unexplained hypokalaemia in an apparently healthy adult is very rare and has now been shown to represent an uncommon presentation of CF, physicians must take these facts into account when determining an appropriate imaging, biochemical work-up and genetic analyses to arrive at a diagnosis.
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Affiliation(s)
- Ugo Vertolli
- Department of Medicine , University of Padova-Azienda Ospedaliera Padova , Padova , Italy
| | - Annamaria Ruffatti
- Department of Medicine , University of Padova-Azienda Ospedaliera Padova , Padova , Italy
| | - Maria Loreta De Giorgi
- Department of Medicine , University of Padova-Azienda Ospedaliera Padova , Padova , Italy
| | - Vanna Scapin
- Department of Radiology , University of Padova-Azienda Ospedaliera Padova , Padova , Italy
| | - Agostino Naso
- Department of Medicine , University of Padova-Azienda Ospedaliera Padova , Padova , Italy
| | - Lorenzo A Calò
- Department of Medicine , University of Padova-Azienda Ospedaliera Padova , Padova , Italy
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Panuccio V, Enia G, Tripepi R, Torino C, Garozzo M, Battaglia GG, Marcantoni C, Infantone L, Giordano G, De Giorgi ML, Lupia M, Bruzzese V, Zoccali C. Chest ultrasound and hidden lung congestion in peritoneal dialysis patients. Nephrol Dial Transplant 2012; 27:3601-5. [PMID: 22573237 DOI: 10.1093/ndt/gfs116] [Citation(s) in RCA: 50] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022] Open
Abstract
BACKGROUND Chest ultrasound (US) is a non-invasive well-validated technique for estimating extravascular lung water (LW) in patients with heart diseases and in end-stage renal disease. We systematically applied this technique to the whole peritoneal dialysis (PD) population of five dialysis units. METHODS We studied the cross-sectional association between LW, echocardiographic parameters, clinical [pedal oedema, New York Heart Association (NYHA) class] and bioelectrical impedance analysis (BIA) markers of volume status in 88 PD patients. RESULTS Moderate to severe lung congestion was evident in 41 (46%) patients. Ejection fraction was the echocardiographic parameter with the strongest independent association with LW (r = -0.40 P = 0.002). Oedema did not associate with LW on univariate and multivariate analysis. NYHA class was slightly associated with LW (r = 0.21 P = 0.05). Among patients with severe lung congestion, only 27% had pedal oedema and the majority (57%) had no dyspnoea (NYHA Class I). Similarly, the prevalence of patients with BIA, evidence of volume excess was small (11%) and not significantly different (P = 0.79) from that observed in patients with mild or no congestion (9%). CONCLUSIONS In PD patients, LW by chest US reveals moderate to severe lung congestion in a significant proportion of asymptomatic patients. Intervention studies are necessary to prove the usefulness of chest US for optimizing the control of fluid excess in PD patients.
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Affiliation(s)
- Vincenzo Panuccio
- Nephrology, Dialysis, Hypertension and Renal Transplantation Unit, Ospedali Riuniti, Reggio Calabria, Italy
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