Literature DB >> 28509160

Hypersensitivity reactions to acetate in the bicarbonate dialysate in a patient undergoing pre-dilution online hemodiafiltration.

Akihiko Kato1, Takako Takita2, Mitsuyoshi Furuhashi2.   

Abstract

A 63-year-old male patient first experienced recurrent hypotensive episode during the dialysis session just after switching the mode from hemodialysis to online hemodiafiltration (OL-HDF) with infusion in pre-dilution of the bicarbonate dialysate containing 9.2 mEq/L of acetate. Peripheral eosinophil count and serum IgE were both elevated to 16,440/μL and 2000 IU/L. The reactions promptly dissolved with substitution of acetate-free solution. This case illustrated that pre-dilution OL-HDF can induce an occult hypersensitivity to acetate in the standard bicarbonate dialysate.

Entities:  

Keywords:  Acetate; Allergy; Dialysate; Online hemodiafiltration

Year:  2015        PMID： 28509160      PMCID： PMC5413740          DOI： 10.1007/s13730-015-0185-y

Source DB:  PubMed          Journal:  CEN Case Rep        ISSN： 2192-4449


  6 in total

1.  Hypersensitivity reactions related to acetate dialyzate and cellulose acetate membrane.

Authors:  F Caravaca; J L Pizarro; M Arrobas; J J Cubero; J M Antona; E Sanchez
Journal:  Nephron       Date:  1987       Impact factor: 2.847

2.  Hypersensitivity to acetate dialysate: report of a case.

Authors:  C S Yang; C J Liu; S H Lee
Journal:  J Formos Med Assoc       Date:  1991-08       Impact factor: 3.282

3.  Substitution of acetic acid for hydrochloric acid in the bicarbonate buffered dialysate.

Authors:  G Fournier; J Potier; H E Thébaud; G Majdalani; H Ton-That; N K Man
Journal:  Artif Organs       Date:  1998-07       Impact factor: 3.094

4.  Hypersensitivity reactions during hemodialysis related to the use of acetate dialysate. A case report.

Authors:  J T Papadakis; A Patrikarea; S Saradi; K Papakostas; A Leondi; A Kravaritis; S Vafiadis
Journal:  Clin Nephrol       Date:  1991-05       Impact factor: 0.975

5.  On-line haemodiafiltration with and without acetate.

Authors:  Francesco Pizzarelli; Tiziano Cerrai; Pietro Dattolo; Giuseppe Ferro
Journal:  Nephrol Dial Transplant       Date:  2006-02-07       Impact factor: 5.992

6.  Hemodialysis-associated asthma in a renal failure patient.

Authors:  K Ei; I Hanai; T Horiuchi; J Hanai; H Gotoh; Y Hirasawa; F Gejyo; Y Aizawa
Journal:  Nephron       Date:  1980       Impact factor: 2.847
  6 in total
  1 in total

1.  Hypersensitivity reactions to bicarbonate dialysate containing acetate: a case report with literature review.

Authors:  Yoko Nishiuchi; Hisato Shima; Yoshio Fukata; Tomohiro Tao; Takuya Okamoto; Norimichi Takamatsu; Kazuyoshi Okada; Jun Minakuchi
Journal:  CEN Case Rep       Date:  2020-03-27
  1 in total

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