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(Chest. 2006;129:202S-203S.)
© 2006 American College of Chest Physicians

Peritoneal Dialysis and Cough

ACCP Evidence-Based Clinical Practice Guidelines

Susan M. Tarlo, MBBS, FCCP

Correspondence to: Susan M. Tarlo, MBBS, FCCP, Toronto Western Hospital, EC4–009, 399 Bathurst St, Toronto, ON, M5T 2S8 Canada; e-mail susan.tarlo{at}utoronto.ca

Objective: To review the clinical associations between peritoneal dialysis (PD) and cough.

Methodology: A literature review was performed on PubMed for articles published between 1983 and 2004 using the search terms "dialysis" and "cough."

Results/conclusions: Patients receiving PD are more likely to develop a cough than other patients with end-stage renal disease who are receiving hemodialysis. Although both groups of patients frequently receive medications, such as angiotensin-converting enzyme inhibitors and ß-adrenergic blocking agents, that can trigger cough and both may be at increased risk for fluid overload and pulmonary edema, the increased risk associated with PD appears to relate to gastroesophageal reflux, likely from the peritoneal dialysate.

Key Words: cough • hemodialysis • peritoneal dialysis




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R. S. Irwin, M. H. Baumann, D. C. Bolser, L.-P. Boulet, S. S. Braman, C. E. Brightling, K. K. Brown, B. J. Canning, A. B. Chang, P. V. Dicpinigaitis, et al.
Diagnosis and Management of Cough Executive Summary: ACCP Evidence-Based Clinical Practice Guidelines
Chest, January 1, 2006; 129(1_suppl): 1S - 23S.
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