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钙化防御:诊断、发病机制和治疗。

Calciphylaxis: Diagnosis, Pathogenesis, and Treatment.

机构信息

John J. Chang, MD • Assistant Professor • Department of Internal Medicine • Yale School of Medicine, New Haven, Connecticut.

出版信息

Adv Skin Wound Care. 2019 May;32(5):205-215. doi: 10.1097/01.ASW.0000554443.14002.13.

Abstract

GENERAL PURPOSE

To provide information on the pathogenesis, clinical features, diagnosis, and treatment of calciphylaxis.

TARGET AUDIENCE

This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care.

LEARNING OBJECTIVES/OUTCOMES: After participating in this educational activity, the participant should be better able to:1. Recognize the pathogenesis and clinical features of and risk factors for calciphylaxis.2. Explain the diagnosis and management of a patient with calciphylaxis.

ABSTRACT

Calciphylaxis is a cutaneous ischemic infarct caused by total occlusion of blood vessels initiated by vascular calcification. Until recently, treatments have been limited to controlling its risk factors and optimizing wound care. However, recent advances in clinical understanding of the mechanism of calciphylaxis have identified promising potential therapeutic targets. This article is a narrative review summarizing the clinical features, diagnosis, pathogenesis, and treatment of calciphylaxis.

摘要

一般用途

提供钙磷沉积症的发病机制、临床特征、诊断和治疗信息。

目标受众

本继续教育活动面向对皮肤和伤口护理有兴趣的医生、医师助理、执业护士和护士。

学习目标/结果:参加本教育活动后,参与者应能够更好地:1. 识别钙磷沉积症的发病机制和临床特征以及其风险因素。2. 解释钙磷沉积症患者的诊断和治疗。

摘要

钙磷沉积症是一种由血管钙化引发的血管完全阻塞导致的皮肤缺血性梗死。直到最近,治疗方法还仅限于控制其风险因素和优化伤口护理。然而,最近对钙磷沉积症发病机制的临床认识的进展已经确定了有希望的潜在治疗靶点。本文是一篇综述,总结了钙磷沉积症的临床特征、诊断、发病机制和治疗。

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