Gilchrest B, Rowe J W, Mihm M C
Ann Intern Med. 1975 Oct;83(4):480-3. doi: 10.7326/0003-4819-83-4-480.
Five patients with chronic renal failure who were undergoing maintenance hemodialysis developed a self-limited bullous dermatosis restricted to light exposed areas, primarily involving the dorsa of the hands. Porphyrin levels and phototesting were normal, but histologic sections of the bullae showed thickening of venule walls, hypogranulated mast cells, and perivenular deposition of immunoglobulins. This combination of features has not previously been described and may reflect a pathologic process unique to chronic hemodialysis.
五名接受维持性血液透析的慢性肾衰竭患者出现了一种自限性大疱性皮肤病，局限于暴露部位，主要累及手背。卟啉水平和光试验正常，但水疱的组织学切片显示小静脉壁增厚、肥大细胞颗粒减少以及免疫球蛋白在血管周围沉积。这种特征组合以前未曾描述过，可能反映了慢性血液透析特有的病理过程。
