Ortonne J P, Bustamante R, Perrot C H, Thivolet J
Med Cutan Ibero Lat Am. 1977;5(6):381-93.
The authors studied the skin disorders in 50 patients who have undergone renal transplantation. They observed: -- Viral infections (herpes simplex, herpes Zoster, warts) in 56% of the patients. -- Bacterial infections in 36%, resulting in septicemia in 8% of the cases. -- Fungal infections in 26% of the patients. These infections appeared more severe than usual and recurred frequently. The occurence of several infections processes in the same patient was not uncommon. The clinical aspect and high incidence of various infections is related to immunosuppresive therapy. However, there is no clear-cut correlation between the type of infection and the type of treatment used. -- Squamous cell carcinoma occured in one patient. A high incidence of malignancies is known to occur in immunosuppressed patients. -- Skin signs related to hemodialysis (pruritus, hypermelanosis, skin dryness, vascular disturbances) regressed. -- The incidence of adverse reactions to drugs was high. -- 4 cases of ulcerations of the oral mucosa probably related to Azathioprine were observed.
作者研究了50例接受肾移植患者的皮肤疾病。他们观察到:——56%的患者出现病毒感染(单纯疱疹、带状疱疹、疣)。——36%的患者出现细菌感染,其中8%的病例导致败血症。——26%的患者出现真菌感染。这些感染比平常更严重且频繁复发。同一患者出现多种感染过程并不罕见。各种感染的临床症状和高发病率与免疫抑制治疗有关。然而,感染类型与所用治疗类型之间没有明确的相关性。——1例患者发生鳞状细胞癌。已知免疫抑制患者恶性肿瘤的发生率较高。——与血液透析相关的皮肤体征(瘙痒、色素沉着过度、皮肤干燥、血管紊乱)有所消退。——药物不良反应的发生率较高。——观察到4例可能与硫唑嘌呤有关的口腔黏膜溃疡。