性尿路性动脉病变与阴茎参与移植后的脏
Sidharth Anand1, Aiswarya Menon2, Abinav Udaiyar1
1Hackensack Meridian School of Medicine, Nutley, NJ, USA.
Urology case reports
|June 9, 2025
概括
尿动脉动脉病 (calciphylaxis) 是一种罕见的疾病,在末期病 (ESRD) 患者中引起痛苦的皮肤病变. 这一案例表明,即使在脏移植后,石灰也会影响阴茎等远端部位,需要积极的管理.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 皮肤病学 皮肤病学
- 血管医学 血管医学
背景情况:
- 性尿路性动脉病变 (calciphylaxis) 是末期病 (ESRD) 患者的一种破坏性并发症.
- 它通常表现为痛苦的皮肤亡和组织缺血,通常在近端区域.
- 包括阴茎在内的远端部位也可能受到影响,这带来了独特的诊断和管理挑战.
研究的目的:
- 在移植后的ESRD患者中报告影响远部部位 (包括阴茎) 的石灰病例.
- 为了强调在这个特定的患者群体中石灰症的严重程度和潜在并发症.
- 强调及时诊断和积极的治疗策略的重要性.
主要方法:
- 一个55岁的男性患有ESRD的案例报告.
- 手指,脚和阴茎在移植后的临床表现.
- 治疗方法包括硫酸和血液透析.
主要成果:
- 患者患有严重的石灰症,并出现广泛的皮肤病变和组织缺血.
- 尽管接受了治疗,但病情恶化,需要截肢.
- 复发性感染使临床过程复杂化,强调了管理方面的挑战.
结论:
- 即使在成功的脏移植后,也可能出现远端部位,如阴茎.
- 及时诊断和积极的,多学科的管理对于改善ESRD患者的结局至关重要.
- 这一案例凸显了与石灰症相关的严重发病率,以及对临床怀疑的必要性,特别是在移植后的环境中.
相关概念视频
Kidney Transplant II: Surgical Procedure
2
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
2
Kidney Transplant I: Introduction
2
A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
2
Chronic Kidney Disease II: Clinical Manifestations
2
Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
2
Kidney Transplant III: Nursing Management
3
Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
3
Acute Kidney Injury II: Pathophysiology
2
Acute kidney injury (AKI) causes are categorized into three primary categories based on the location of the injury: prerenal, intrarenal (or intrinsic), and postrenal causes. This classification guides clinical management and illustrates how different pathways can impair kidney function.Etiology and Pathophysiology of Acute Kidney Injury1. Prerenal causesEtiology: Prerenal Acute Kidney Injury, the most common type, occurs when reduced blood flow to the kidneys decreases filtration capacity...
2
Acute Kidney Injury III: Clinical Manifestations
2
Acute Kidney Injury (AKI) progresses through distinct clinical phases: the oliguric, diuretic, and recovery phases, each marked by unique manifestations and challenges.Oliguric Phase:The oliguric phase is the initial stage of AKI, typically lasting 10 to 14 days. This phase is marked by a significant reduction in urine output, usually less than 400 mL per day, indicating decreased kidney function. Fluid retention is a prominent feature, leading to symptoms such as edema, hypertension, and...
2


