急性腎不全を合併した血友病Ａの１症例

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  • A case of hemophilia associated with acute renal failure: Successful performance of hemodialysis using factor-VIII, FOY or local heparinization, and an EVAL membrane dialyzer.

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We experienced a rare case of hemophilia A which required hemodialysis for acute renal failure due to bilateral urinary tract obstruction. This 23-year-old male was diagnosed with hemophilia A at the age of 2 years. He visited a family doctor with macroscopic hematuria and lower back pain in 1988. Three days later he was referred to our hospital because of anuria. Abdominal computed tomography revealed bilateral renal enlargement and pelvic and urinary tract thromboses. Laboratory findings indicated renal failure and he was diagnosed as having acute renal failure caused by bilateral obstruction of the urinary tract. Four hemodialyses improved the patients general condition and laboratory findings. In hemophilia patients, the severe bleeding tendency makes it difficult to perform hemodialysis, but we managed successfully in this case using replacement of factor-VIII, FOY or local heparinization, and an EVAL membrane dialyzer.

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