Uremic Bursitis

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Abstract

To the editor: The description of septic bursitis in the prepatellar and olecranon bursae by Drs. Ho, Tice, and Kaplan in the July issue (Ann Intern Med 89:21–27, 1978) raises a few points that may interest nephrologists caring for uremic patients.

Olecranon bursal effusions in uremic patients occur not only from sustained trauma to the olecranon process but also from increased pressure within the bursal vessels resulting from arteriovenous anastomosis and the anticoagulant effects of heparin. The uremic toxins believed to cause inflammation of other serosal surfaces such as pericardium, pleura, and peritoneum with serosanguineous or hemorrhagic effusions (1–3) were

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