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人工动静脉移植物接触性皮炎伪装成血液透析患者的动静脉移植物感染

Prosthetic Arteriovenous Graft Contact Dermatitis Masquerading as an Arteriovenous Graft Infection in a Hemodialysis Patient.

作者信息

Ramagiri-Vinod Nagadarshini, Tahir Hassan, Narukonda Sandhya, Joshi Medha

机构信息

Temple University/Conemaugh Memorial Medical Center, Johnstown, PA, USA.

出版信息

J Investig Med High Impact Case Rep. 2016 Jul 8;4(3):2324709616658311. doi: 10.1177/2324709616658311. eCollection 2016 Jul-Sep.

Abstract

Prosthetic arteriovenous (AV) graft is the second most common vascular access of choice in hemodialysis patients. Rare complications of such grafts are increasingly seen due to rising population of patients on hemodialysis. Infections and thrombosis are the most common complications. Though metallic implants are known to cause hypersensitivity skin reactions, prosthetic AV grafts are rarely known to cause such kind of reactions due to inert nature of materials used in their preparation. We present a case of 54-year-old male who developed contact dermatitis after AV graft creation which was mistreated initially as infection.

摘要

人工动静脉内瘘是血液透析患者第二常见的血管通路选择。由于血液透析患者数量的增加,此类内瘘的罕见并发症越来越常见。感染和血栓形成是最常见的并发症。虽然金属植入物已知会引起过敏性皮肤反应,但由于人工动静脉内瘘制备中使用的材料具有惰性,很少会引起这种反应。我们报告一例54岁男性患者,在建立动静脉内瘘后出现接触性皮炎,最初被误诊为感染。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d81/4959631/0e566f63476e/10.1177_2324709616658311-fig1.jpg

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