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钙过敏症的病因发病机制、诊断及治疗进展

Update on calciphylaxis etiopathogenesis, diagnosis, and management.

作者信息

Khanna Urmi, Dominguez Arturo, Keller Jesse, Kroshinsky Daniela, Ortega-Loayza Alex G, Strowd Lindsay, Micheletti Robert G

机构信息

Department of Dermatology, Cleveland Clinic, Ohio, USA.

Department of Dermatology, University of Texas Southwestern Medical Center, Dallas, USA.

出版信息

Cutis. 2018 Dec;102(6):395-400.

PMID:30657805
Abstract

Calciphylaxis is a rare painful skin condition classically seen in patients with end-stage renal disease (ESRD), particularly those on chronic dialysis; however, it also has been increasingly reported in patients with normal renal function. Calciphylaxis is associated with high mortality rates, and excruciating pain and nonhealing ulcers often lead to recurrent hospitalizations and infectious complications. It is critical for dermatologists to recognize the clinical features of calciphylaxis to ensure accurate and timely diagnosis and proper management. In this article, we provide an update on calciphylaxis etiopathogenesis, diagnosis, and management, and we highlight the challenges faced in managing this potentially fatal condition.

摘要

钙过敏是一种罕见的疼痛性皮肤病,典型地见于终末期肾病(ESRD)患者,尤其是那些接受长期透析的患者;然而,肾功能正常的患者中也越来越多地有相关报道。钙过敏与高死亡率相关,剧痛和不愈合的溃疡常常导致反复住院及感染性并发症。皮肤科医生认识钙过敏的临床特征以确保准确、及时的诊断和恰当的治疗至关重要。在本文中,我们提供了关于钙过敏的病因发病机制、诊断和治疗的最新情况,并强调了在处理这种潜在致命疾病时所面临的挑战。

相似文献

1
Update on calciphylaxis etiopathogenesis, diagnosis, and management.钙过敏症的病因发病机制、诊断及治疗进展
Cutis. 2018 Dec;102(6):395-400.
2
Cutaneous calciphylaxis in a haemodialysis patient.一名血液透析患者的皮肤钙化防御
J Wound Care. 2005 Jul;14(7):312. doi: 10.12968/jowc.2005.14.7.26806.
3
Early clinical presentations and progression of calciphylaxis.钙化防御的早期临床表现和进展。
Int J Dermatol. 2017 Aug;56(8):856-861. doi: 10.1111/ijd.13622. Epub 2017 Apr 23.
4
Unilateral calciphylaxis in a patient with systemic lupus erythematosus, chronic kidney disease, and hemodialysis-associated steal syndrome.一名患有系统性红斑狼疮、慢性肾病及血液透析相关窃血综合征患者的单侧钙化防御。
Dermatol Online J. 2011 Sep 15;17(9):3.
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[A rare and severe cutaneous disorder in patients with end-stage renal disease on hemodialysis].[终末期肾病血液透析患者中的一种罕见且严重的皮肤疾病]
Ann Pathol. 2013 Apr;33(2):130-2. doi: 10.1016/j.annpat.2013.02.003. Epub 2013 Mar 19.
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Management of Cutaneous Calciphylaxis.皮肤钙化防御的处理。
Adv Ther. 2020 Dec;37(12):4797-4807. doi: 10.1007/s12325-020-01504-w. Epub 2020 Sep 30.
7
Early recognition and treatment of calciphylaxis.钙过敏的早期识别与治疗。
South Med J. 2003 Jan;96(1):53-5. doi: 10.1097/01.SMJ.0000047841.53171.19.
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[Calciphylaxis: an enigma to the nephrologist].[钙过敏:肾脏病学家的一个谜]
G Ital Nefrol. 2012 Nov-Dec;29(6):674-82.
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Calciphylaxis mimicking skin lesions of connective tissue diseases.模仿结缔组织病皮肤病变的钙过敏症。
South Med J. 1996 Nov;89(11):1099-100. doi: 10.1097/00007611-199611000-00016.
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Early diagnosis strategy of calciphylaxis in dialysis patients.透析患者钙化防御的早期诊断策略。
Ren Fail. 2023;45(2):2264407. doi: 10.1080/0886022X.2023.2264407. Epub 2023 Oct 5.

引用本文的文献

1
Multimodality approach to treat calciphylaxis in end-stage kidney disease patients.多模态方法治疗终末期肾病患者的钙化防御。
Ren Fail. 2023;45(2):2256413. doi: 10.1080/0886022X.2023.2256413. Epub 2023 Sep 19.
2
The Multifactorial Pathogenesis of Calciphylaxis: A Case Report.钙化防御的多因素发病机制:1 例报告。
Am J Case Rep. 2021 Jun 7;22:e930026. doi: 10.12659/AJCR.930026.