Korean J Nephrol.  2006 Mar;25(2):333-336.

Dialysis in a Patient with Hemophilia

• Lee YJ
• Cho HC
• Kim JH
• Jung KH
• Lee SH
• Lee TW
• Lim CK

Abstract

Hemophilia is a rare inherited bleeding disorder. The most common manifestation of hemophilia is hemorrage and it can occur at any site of the body. Chronic renal failure results from a variety of systemic disorders and its incidence is now increasing. Until now, chronic renal failure in hemophilia was rare and there was no reported case of hemodialysis or peritoneal dialysis in hemophilia patient in korea. The modality of dialysis for hemophiliac end stage renal patients is a difficult choice because hemophiliac patients always have the risk of bleeding. We have experienced one case of end stage renal disease developed in a patient with hemophilia A. He first got continuous ambulatory peritoneal dialysis for 2 years and then switched to hemodialysis because of recurrent peritoneal infection. While getting peritoneal dialysis, there was no intraperitoneal or retroperitoneal hemorrhage episode. Now he gets hemodialysis through Perm catheter. During hemodialysis, he has no bleeding complication without any factor VIII supplement.

Keyword

Hemophilia; Chronic renal failure; Renal replacement therapy

MeSH Terms

Catheters
Dialysis*
Factor VIII
Hemophilia A*
Hemorrhage
Humans
Incidence
Kidney Failure, Chronic
Korea
Peritoneal Dialysis
Peritoneal Dialysis, Continuous Ambulatory
Renal Dialysis
Renal Replacement Therapy
Factor VIII