Uremic pleuritis is a fibrinous pleuritis of unknown pathogenesis in patients with chronic kidney disease. Although it responds to regular dialysis or repeated thoracentesis, cases that are refractory to those therapies have been reported. We report a case of uremic pleuritis which showed marked improvement following corticosteroid therapy. The effusion was exudate, and negative in cytology and microbiology. Pleural biopsy revealed chronic inflammation with fibrosis. The pleural effusion did not respond to chest tube drainage and continuance of hemodialysis. With a diagnosis of refractory uremic pleuritis, we started methylprednisolone. The pleural effusion responded to the treatment and resolved without complication.

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• Dyspnoea Assessment In Adults With End‐Stage Kidney Disease: A Systematic Review
  Maria Chilvers, Kylie Johnston, Katia Ferrar, Marie T. Williams
  Journal of Renal Care.2020; 46(3): 137.     CrossRef
• Refractory exudative pleural effusion in patients with chronic kidney disease not receiving dialysis: A case report
  Hye Mi Seo, Miyeon Kim, Hyunwoo Kim
  Clinical Case Reports.2019; 7(4): 675.     CrossRef