An Intact Dopamine Sensitivity in the Brain: A Necessity to Recover Hyperprolactinemia and Galactorrhea in a Female Hemodialysis Patient?

A female hemodialysis patient with galactorrhea due to hyperprolactinemia was treated with different dialysis modalities to assess the effect on prolactin levels. A single session of both high-flux hemodialysis and hemodiafiltration resulted in decreased prolactin levels (16,6% and 77,2%, resp.). Ho...

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Main Authors: Eva Philipse, Ester Philipse, Theodorus Twickler, Amaryllis Van Craenenbroeck, Marie Madeleine Couttenye, Luc Van Gaal
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Nephrology
Online Access:http://dx.doi.org/10.1155/2017/3729629
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author Eva Philipse
Ester Philipse
Theodorus Twickler
Amaryllis Van Craenenbroeck
Marie Madeleine Couttenye
Luc Van Gaal
author_facet Eva Philipse
Ester Philipse
Theodorus Twickler
Amaryllis Van Craenenbroeck
Marie Madeleine Couttenye
Luc Van Gaal
author_sort Eva Philipse
collection DOAJ
description A female hemodialysis patient with galactorrhea due to hyperprolactinemia was treated with different dialysis modalities to assess the effect on prolactin levels. A single session of both high-flux hemodialysis and hemodiafiltration resulted in decreased prolactin levels (16,6% and 77,2%, resp.). However, baseline prolactin levels measured immediately before the next dialysis session did not change markedly. After cabergoline treatment was started, prolactin levels normalized and galactorrhea disappeared. Thus, dopaminergic inhibition of prolactin secretion might be reduced in patients with end-stage renal disease. This dopaminergic resistance could be an important mechanism of hyperprolactinemia in hemodialysis patients and its subsequent treatment strategies.
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institution Kabale University
issn 2090-6641
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language English
publishDate 2017-01-01
publisher Wiley
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series Case Reports in Nephrology
spelling doaj-art-944c3ffabb504ba1a2b71b33bc693f072025-02-03T01:26:02ZengWileyCase Reports in Nephrology2090-66412090-665X2017-01-01201710.1155/2017/37296293729629An Intact Dopamine Sensitivity in the Brain: A Necessity to Recover Hyperprolactinemia and Galactorrhea in a Female Hemodialysis Patient?Eva Philipse0Ester Philipse1Theodorus Twickler2Amaryllis Van Craenenbroeck3Marie Madeleine Couttenye4Luc Van Gaal5Department of Endocrinology, University Hospital of Antwerp, Edegem, BelgiumDepartment of Nephrology, University Hospital of Antwerp, Edegem, BelgiumDepartment of Endocrinology, University Hospital of Antwerp, Edegem, BelgiumDepartment of Nephrology, University Hospital of Antwerp, Edegem, BelgiumDepartment of Nephrology, University Hospital of Antwerp, Edegem, BelgiumDepartment of Endocrinology, University Hospital of Antwerp, Edegem, BelgiumA female hemodialysis patient with galactorrhea due to hyperprolactinemia was treated with different dialysis modalities to assess the effect on prolactin levels. A single session of both high-flux hemodialysis and hemodiafiltration resulted in decreased prolactin levels (16,6% and 77,2%, resp.). However, baseline prolactin levels measured immediately before the next dialysis session did not change markedly. After cabergoline treatment was started, prolactin levels normalized and galactorrhea disappeared. Thus, dopaminergic inhibition of prolactin secretion might be reduced in patients with end-stage renal disease. This dopaminergic resistance could be an important mechanism of hyperprolactinemia in hemodialysis patients and its subsequent treatment strategies.http://dx.doi.org/10.1155/2017/3729629
spellingShingle Eva Philipse
Ester Philipse
Theodorus Twickler
Amaryllis Van Craenenbroeck
Marie Madeleine Couttenye
Luc Van Gaal
An Intact Dopamine Sensitivity in the Brain: A Necessity to Recover Hyperprolactinemia and Galactorrhea in a Female Hemodialysis Patient?
Case Reports in Nephrology
title An Intact Dopamine Sensitivity in the Brain: A Necessity to Recover Hyperprolactinemia and Galactorrhea in a Female Hemodialysis Patient?
title_full An Intact Dopamine Sensitivity in the Brain: A Necessity to Recover Hyperprolactinemia and Galactorrhea in a Female Hemodialysis Patient?
title_fullStr An Intact Dopamine Sensitivity in the Brain: A Necessity to Recover Hyperprolactinemia and Galactorrhea in a Female Hemodialysis Patient?
title_full_unstemmed An Intact Dopamine Sensitivity in the Brain: A Necessity to Recover Hyperprolactinemia and Galactorrhea in a Female Hemodialysis Patient?
title_short An Intact Dopamine Sensitivity in the Brain: A Necessity to Recover Hyperprolactinemia and Galactorrhea in a Female Hemodialysis Patient?
title_sort intact dopamine sensitivity in the brain a necessity to recover hyperprolactinemia and galactorrhea in a female hemodialysis patient
url http://dx.doi.org/10.1155/2017/3729629
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