Yellowish discoloration of dialyzer

Abstract

A 43-year-old Chinese man with chronic viral hepatitis and end-stage renal disease, receiving conventional hemodialysis for 6 years, presented with general malaise and abdominal fullness. After 4.5 hours of hemodialysis, the hollow fibers of the dialyzer turned yellow. Biochemistry studies showed hyperbilirubinemia. The actual serum bilirubin (7.4 mg/dL) could be proved. Abdominal echography survey was negative. Hyperbilirubinemia was secondary to acute exacerbation of chronic viral hepatitis. Anuria and skin hyperpigmentation in uremia lack the tea-color urine and mask clinical jaundice in the presence of hyperbilirubinemia. Careful observation of dialyzer yellowish discoloration gave us timely discovery of patient's hyperbilirubinemia.

Transient Yellow Finger Nails Discoloration: Two Different Causes

“…Y ellow discoloration of nails has been reported during last years as separate observations related to drugs administration: quinaqrine in a patient with cutaneous lupus erythematosus [1], during hemodialysis [2], after topical use of 5-fluorouracil for the treatment of nail psoriasis [3], induced by temsirolimus [4], carbamazepine [5] and associated with pulmonary diseases like yellow nail syndrome. [5,6] We present two cases of transient yellow discoloration of finger nails of a young woman and an older man.…”

Transient yellow discoloration of the nails for differential diagnosis with yellow nail syndrome

“…2 ). Furthermore, yellow discoloration of the nails has been described during hemodialysis [ 7 ], in patients diagnosed with non-Hodgkin lymphoma [ 8 ]. Yellow nails can be also observed in patients diagnosed with diabetes mellitus (Fig.…”