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一名腹膜透析患者在置入Tenckhoff导管后发生大疱性类天疱疮

Development of Bullous Pemphigoid after Tenckhoff Catheter Placement in a Peritoneal Dialysis Patient.

作者信息

Giunzioni Davide

机构信息

Division of Nephrology, Department of Internal Medicine, Ospedale Regionale di Lugano, Ente Ospedaliero Cantonale, Lugano, Switzerland.

出版信息

Case Rep Dermatol. 2020 Mar 17;12(1):42-46. doi: 10.1159/000506667. eCollection 2020 Jan-Apr.

DOI:10.1159/000506667
PMID:32308574
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7154232/
Abstract

Bullous pemphigoid (BP), a chronic autoimmune subepidermal blistering skin disease, has been described in end-stage renal disease patients requiring dialysis after the placement of an artero-venous fistula. We report a case of a novel onset of BP following a peritoneal dialysis abdominal Tenckhoff catheter placement. The 3-month treatment with systemic doxycycline and topical clobetasol propionate allowed a rapid disappearing of the blisters and left the patient free of symptoms in the follow-up. To our knowledge, this is the first case describing a new BP onset after a peritoneal dialysis catheter placement.

摘要

大疱性类天疱疮（BP）是一种慢性自身免疫性表皮下大疱性皮肤病，在需要动静脉造瘘术后进行透析的终末期肾病患者中已有报道。我们报告了1例在放置腹膜透析腹透管后新发BP的病例。经全身使用强力霉素和外用丙酸氯倍他索治疗3个月，水疱迅速消失，患者在随访中无症状。据我们所知，这是首例描述腹膜透析导管置入后新发BP的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbe7/7154232/ce7f3ee9b230/cde-0012-0042-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbe7/7154232/ce7f3ee9b230/cde-0012-0042-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbe7/7154232/ce7f3ee9b230/cde-0012-0042-g01.jpg

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Association Between Bullous Pemphigoid and Dipeptidyl Peptidase 4 Inhibitors: A Retrospective Cohort Study.大疱性类天疱疮与二肽基肽酶-4 抑制剂的相关性：一项回顾性队列研究。
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腹膜透析导管周围的水疱及粟丘疹：1例局限性大疱性类天疱疮病例
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Bullous pemphigoid in patients receiving peritoneal dialysis: a case series and a literature survey.接受腹膜透析患者的大疱性类天疱疮：病例系列和文献综述。
Ren Fail. 2021 Dec;43(1):651-657. doi: 10.1080/0886022X.2021.1910045.
二肽基肽酶-4 抑制剂相关性大疱性类天疱疮。
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Association of Bullous Pemphigoid With Dipeptidyl-Peptidase 4 Inhibitors in Patients With Diabetes: Estimating the Risk of the New Agents and Characterizing the Patients.糖尿病患者中疱疹样天疱疮与二肽基肽酶-4 抑制剂的关联：评估新型药物的风险并描述患者特征。
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