在腹腔透析患者中获得的穿孔性皮肤病:报告了3例病例
Iris Viejo-Boyano1, Luis Carlos López-Romero1, Vicent Martínez-I-Cózar2
1Nephrology Department, University and Polythechnic La Fe Hospital, Valencia, Spain.
AME case reports
|November 9, 2023
概括
获得性穿孔性皮肤病 (APD) 是一种与慢性病 (CKD) 和糖尿病 (DM) 相关的罕见皮肤病. 对和代谢的控制不良似乎是CKD患者发展APD的重要危险因素.
科学领域:
- 皮肤病学 皮肤病学
- 腎臟病學 (nephrology) 是一種醫學專業.
- 内分泌学 在内分泌学.
背景情况:
- 获得性穿孔性皮肤病 (APD) 是一种罕见的疾病,每10万人中约有2.5人患上.
- APD经常与末期病 (ESRD) 和糖尿病 (DM) 相关.
研究的目的:
- 在接受腹腔透析 (PD) 的患者中描述三例APD病例.
- 要突出APD,CKD,DM和代谢障碍之间的关联.
主要方法:
- 一系列病例描述了三名患有APD的患者在PD.
- 对临床表现,并发症和代谢状态的审查.
主要成果:
- 在PD上患有CKD的3名患者患有APD,其中1名患有反应性穿孔性原菌病 (RPC) 的巨型变体.
- 所有病例的和代谢控制不良.
- 一名患有DM,CKD和代谢障碍的患者患有严重形式的RPC.
结论:
- 慢性脏病和DM增加了发展APD的风险.
- 损坏的和代谢控制似乎与CKD患者的APD发展有关.
- 早期识别和皮肤科医生的咨询对于管理这种罕见的疾病至关重要.
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