Brief report: kidney-related munchausen's syndrome

Article Abstract:

Munchausen's syndrome is a disorder of unknown cause characterized by fabrication of symptoms to receive medical attention. Patients with this disorder may be suffering from brain damage, character neuroses or tendencies toward antisocial behavior. These patients try to simulate the symptoms of specific diseases so that they will be admitted to the hospital for treatment. Some choose to simulate the symptoms of systemic lupus erythematosus or kidney diseases such as Goodpasture's syndrome. These diseases are chosen because they are characterized by a variety of symptoms that are easy to simulate. It is important for physicians to identify patients suffering from Munchausen's syndrome before they undergo life-threatening diagnostic procedures or treatments. Patients diagnosed with Munchausen's syndrome should be referred for psychiatric treatment.

Case studies, Psychophysiologic disorders, Psychosomatic disorders, Factitious disorder, Factitious disorders

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The intensity of hemodialysis and the response to erythropoietin in patients with end-stage renal disease

Article Abstract:

Inadequate levels of hemodialysis may cause anemia and possible death, interfering with the uptake of erythropoietin, and the stimulation of red blood cell production. Hemodialysis is a blood filtration process for people with advanced kidney disease. Researchers improved dialysis for 20 patients with end-stage kidney disease and anemia by using a larger machine and increasing the time on the dialyzer by half an hour each. All patients took oral erythropoietin three times a week and were anemic with an average hematocrit of 29.2%. After six weeks, the patients on more intense dialysis had higher hematocrit levels compared to the control group of 20 patients on standard dialysis. Since mortality rates of U.S. dialysis patients are twice as high as in Europe and Japan, inadequate dialysis may need to be changed to improve the chance of survival.

Prevention, Complications and side effects, Physiological aspects, Erythropoietin, Chronic kidney failure, Renal anemia

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Hemodialysis as an artificial lung in sleep apnea

Article Abstract:

Patients with chronic kidney failure who also have sleep apnea syndrome may benefit from daily dialysis given at night during sleep. A study published in 2001 found that daily nocturnal dialysis substantially reduced the number of sleep apnea episodes. Sleep apnea occurs when people stop breathing temporarily throughout the night.

Care and treatment, Editorial, Sleep apnea syndromes, Sleep apnea

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