One of our peritoneal dialysis patients has been producing dialysis fluid that contains a white "colloid" giving the impression of very dilute milk. The fluid does not contain cells or organisms.
Analysis showed:
Sodium 134 mmol/L
Potassium 2.7 mmol/L
urea 10.4 mmol/L
Creatinine 489 micromol/L
Cholesterol measures as 0.1 mmol/L (!)
Triglycerides 0.55 mmol/L
Calcium 1.44 mmol/L
phosphate 0.82 mmol/L
urate 0.12 mmol/L
Heating to 45 degrees C had no effect, acidification had no effect except a small reduction in urate. The patient had normal serum cholesterol and triglycerides. Centrifugation had no effect. The patient does not always produce this milky fluid and we have seen it only 2-3 times in another patient several years ago which subsequently resolved.
The Clinician wants to know if this is normal or does it represent a pathology, e.g. lympatic drainage. Experiences or suggestions welcomed.
Martin Myers
Preston
EM-ID=C38CB015
Enterprise Mail Additional Enclosure.
Enclosure file names :
Enclosure 1
|