SCLEROSING PERITONITIS OCCURRING IN A HEMODIALYSIS PATIENT

The pathogenesis of sclerosing peritonitis is poorly understood, In pa tients with end-stage renal failure, it has been described in associat ion with continuous ambulatory peritoneal dialysis (CAPD), although it has not been described in patients treated exclusively by hemodialysi s. We present a case of sclerosing peritonitis occurring in a 47-year- old man who was treated solely by hemodialysis. Additionally the patie nt was diagnosed as having ''nephrogenic ascites'' 5 years before deve loping sclerosing peritonitis, and we discuss a possible link between these two conditions. (C) 1996 by the National Kidney Foundation, Inc.