Effect of Treatment of Anaemia with Erythropoietin on Neuromuscular Function in Patients on Long Term Haemodialysis

To study the effect of treatment of anaemia with recombinant human erythropoietin (r-HUEPO) on neuromuscular function in patients undergoing haemodialysis for chronic renal failure, six patients were given r-HUEPO in an initial dose of 50 u/kg three times a week and their haemoglobin concentration w...

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Veröffentlicht in:Scandinavian journal of urology and nephrology 1992, Vol.26 (1), p.65-69
Hauptverfasser: Sobh, Mohamed A., El-Tantawy, Abd El-Halim, Said, Ehab, Atta, Mohamed Gehad, Refaie, Ayman, Nagati, Mohamed, Ghoneim, Mohamed
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container_end_page 69
container_issue 1
container_start_page 65
container_title Scandinavian journal of urology and nephrology
container_volume 26
creator Sobh, Mohamed A.
El-Tantawy, Abd El-Halim
Said, Ehab
Atta, Mohamed Gehad
Refaie, Ayman
Nagati, Mohamed
Ghoneim, Mohamed
description To study the effect of treatment of anaemia with recombinant human erythropoietin (r-HUEPO) on neuromuscular function in patients undergoing haemodialysis for chronic renal failure, six patients were given r-HUEPO in an initial dose of 50 u/kg three times a week and their haemoglobin concentration was measured. The dose was increased by 25 u/kg every four weeks if the response was not satisfactory. In five patients anaemia had been corrected within 12 weeks of initiation of treatment. Neuromuscular function was evaluated before treatment, half way through, and after correction of anaemia by clinical examination and neurophysiological studies including motor nerve conduction velocity, distal latency, electromyography and test for neuromuscular fatigue. After correction of anaemia there was a significant increase in motor nerve conduction velocity, a decrease in the duration of motor unit action potential, and a lessening of neuromuscular fatigue. We conclude that treatment of anaemia with r-HUEPO in patients with chronic renal failure undergoing haemodialysis may improve neuromuscular function.
doi_str_mv 10.3109/00365599209180398
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The dose was increased by 25 u/kg every four weeks if the response was not satisfactory. In five patients anaemia had been corrected within 12 weeks of initiation of treatment. Neuromuscular function was evaluated before treatment, half way through, and after correction of anaemia by clinical examination and neurophysiological studies including motor nerve conduction velocity, distal latency, electromyography and test for neuromuscular fatigue. After correction of anaemia there was a significant increase in motor nerve conduction velocity, a decrease in the duration of motor unit action potential, and a lessening of neuromuscular fatigue. We conclude that treatment of anaemia with r-HUEPO in patients with chronic renal failure undergoing haemodialysis may improve neuromuscular function.</description><subject>Adult</subject><subject>anaemia</subject><subject>Anemia - drug therapy</subject><subject>Anemia - etiology</subject><subject>Biological and medical sciences</subject><subject>dialysis</subject><subject>Electromyography</subject><subject>erythropoietin</subject><subject>Erythropoietin - pharmacology</subject><subject>Erythropoietin - therapeutic use</subject><subject>Hormones. Endocrine system</subject><subject>Humans</subject><subject>Kidney Failure, Chronic - complications</subject><subject>Kidney Failure, Chronic - therapy</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Motor Neurons - drug effects</subject><subject>Muscle Contraction - drug effects</subject><subject>Muscles - drug effects</subject><subject>Muscles - physiopathology</subject><subject>Neural Conduction - drug effects</subject><subject>neuromuscular</subject><subject>Neuromuscular Diseases - drug therapy</subject><subject>Neuromuscular Diseases - etiology</subject><subject>Pharmacology. 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subjects Adult
anaemia
Anemia - drug therapy
Anemia - etiology
Biological and medical sciences
dialysis
Electromyography
erythropoietin
Erythropoietin - pharmacology
Erythropoietin - therapeutic use
Hormones. Endocrine system
Humans
Kidney Failure, Chronic - complications
Kidney Failure, Chronic - therapy
Male
Medical sciences
Middle Aged
Motor Neurons - drug effects
Muscle Contraction - drug effects
Muscles - drug effects
Muscles - physiopathology
Neural Conduction - drug effects
neuromuscular
Neuromuscular Diseases - drug therapy
Neuromuscular Diseases - etiology
Pharmacology. Drug treatments
Recombinant Proteins - pharmacology
Recombinant Proteins - therapeutic use
Renal Dialysis - adverse effects
Uremia - etiology
title Effect of Treatment of Anaemia with Erythropoietin on Neuromuscular Function in Patients on Long Term Haemodialysis
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