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[尿毒症性钙化防御]

[Uremic calciphylaxis].

作者信息

Lionet Arnaud, Urena Torres Pablo Antonio

机构信息

Service de néphrologie et transplantation rénale, hôpital Huriez, CHRU de Lille, 1, rue Polonovski, 59037 Lille cedex, France.

Service d'explorations fonctionnelles rénales, AURA Nord Saint-Ouen, Saint-Ouen, université Paris V, hôpital Necker, René Descartes, Paris, France.

出版信息

Nephrol Ther. 2022 Jun;18(3):180-188. doi: 10.1016/j.nephro.2021.12.005. Epub 2022 May 2.

Abstract

Uremic calciphylaxis is a rare disease that affects patients with chronic end-stage renal disease. It is a pathology of the microvessels of the dermis and hypodermis which are calcified and whose thrombosis leads to skin necrosis. Calciphylaxis lesions can be distal and axial. They lead to pain, infection and are associated with denutrition and in high mortality rate (40-80% at 1 year). This general review describes the clinical and para-clinical presentations of calciphylaxis. It summarizes the current knowledge on its pathogenesis and the therapeutical options that can be proposed to improve the management and attempt to reduce the mortality of patients with uremic calciphylaxis.

摘要

尿毒症性钙化防御是一种影响慢性终末期肾病患者的罕见疾病。它是真皮和皮下组织微血管的一种病理状态,这些微血管发生钙化,血栓形成导致皮肤坏死。钙化防御病变可发生在远端和躯干。它们会导致疼痛、感染,并与营养不良相关,死亡率很高(1年内为40 - 80%)。这篇综述描述了钙化防御的临床和辅助检查表现。它总结了目前关于其发病机制的知识以及可用于改善管理并试图降低尿毒症性钙化防御患者死亡率的治疗选择。

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