A case of hemodialysis-associated anaphylaxis or anaphylactoid reaction, which responded successfully to very gradual tapering dose of corticosteroid.

摘要

An 84 year old male presented with acute kidney injury (AKI) on CKD (creatinine 8.25 mg/dL) and severe hyperkalemia (K 9.2 mEq/L), and was admitted to the Division of Nephrology and Hypertention, St. Marianna University School of Medicine, Kana-gawa, Japan. We considered that AKI on CKD was induced by his dehydration. Following admission, he was started on hemodialy-sis (HD) for AKI and hyperkalemia. About 10 min after starting HD, the patient started to complain of dyspnea with wheezing heard over his bilateral chest wall. Suspecting an asthma attack, 125 mg of methylprednisolone (mPSL) was intravenously administered, which successfully resolved the symptom without any interruption of HD.