To the Editor.
—Uremic pericarditis occurs in 14% to 18% of patients undergoing maintenance hemodialysis.1-3 We report herein a case of increased pain associated with uremic pericarditis in a 29-year-old man who was undergoing a program of longterm dialysis. Selective angiography indicated marked coronary atherosclerosis as a possible cause for this distinctly singular phenomenon.
Report of a Case.
—A 29-year-old man with uremia who was undergoing thriceweekly hemodialysis therapy was admitted to the hospital for evaluation of chest pain. The patient had a two-month history of retrosternal discomfort that was dull and continuous. The discomfort was aggravated by exertion with radiation to the neck, left shoulder, and left upper extremity. This nonpleuritic pain was made worse by assumption of the supine position and relieved by sitting up. It was ascertained that the degree and quality of pain was identical in two maneuvers, exercise and lying flat on the back.