Electrolyte balance and voice in hemodialysis patients
- 135 Downloads
We read the publication on “The effect of electrolyte balance on the voice in hemodialysis patients” with a great interest . Sagiroglu and Doganer noted that “uric acid was the agent creating a reduction in vocal cord vibration, the agent increasing the difference between vibration waves was Na+, and creatinine increased the NHR rate .” Indeed, there are other possible factors that might affect the voice in hemodialysis. As a stressful event, the inflammation might occur according to the dialysis . To rule out the concurrent effect of possible hidden inflammation, the erythrocyte sedimentation rate (ESR) might be additional used as a control parameter in the present study. Finally, the problem of laboratory interference on measurement of uric acid in the patients with dialysis should be mentioned . If the colorimetric test is used for measurement of uric acid, the error can be expected in cases undergoing dialysis . In addition, the concurrent use of some common drugs such as acetaminophen also result in aberrant serum uric acid result in hemodialysis patient .
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
- 4.Tanner R, Arund J, Fridolin I, Luman M (2013) Paracetamol interference in uric acid levels in uremic patients revealed by monitoring spent dialysate. ISRN Nephrol 1:515292Google Scholar