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Peritoneal Dialysis Patients with High Effluent Fibrin Degradation Products
Advances in Peritoneal Dialysis, 10/19/09
Moriishi M et al. – In peritoneal dialysis patients with a high eFDP level, steroid therapy effectively led to a decline in eFDPs. We suggest that peritoneal dialysis patients with an eFDP level above 40 microg/mL should receive steroid therapy. Such steroid therapy may prevent EPS development, but a therapeutic effect cannot be expected in cases in which a high eFDP level has persisted for a prolonged period followed by a further increase. Thus, steroids should be administered in the earliest phase of elevation in the eFDP level. Further work is needed to determine the optimal dose of steroid.
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