until further notice
SourceNetherlands Journal of Medicine, 66, 7, (2008), pp. 269-74
Article / Letter to editor
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Netherlands Journal of Medicine
SubjectN4i 4: Auto-immunity, transplantation and immunotherapy; NCMLS 2: Immune Regulation; UMCN 4.2: Chronic inflammation and autoimmunity
Encapsulating peritoneal sclerosis (EPS) is an uncommon but one of the most serious complications in patients on long-term peritoneal dialysis. EPS is characterised by a diffuse thickening and/or sclerosis of the peritoneal membrane which leads to a decreased ultrafiltration and ultimately to bowel obstruction. We present four cases of EPS and discuss the clinical manifestations, multifactorial aetiology, diagnosis, treatment, prognosis, and prevention. We end with a proposal for the development of an EPS prevention guideline.
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