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血液透析患者的慢性肾脏病相关性瘙痒:皮肤干燥症与局部治疗

Chronic kidney disease-associated pruritus in patients undergoing hemodialysis: Xerosis and topical therapy.

作者信息

Krismi Arum, Danarti Retno, Setiabudi Ida I Dewa Putu Pramantara, Wirohadidjojo Yohanes W

机构信息

Doctoral Study of Medicine and Health, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.

Faculty of Medicine, Duta Wacana Christian University, Yogyakarta, Indonesia.

出版信息

Hemodial Int. 2023 Apr;27(2):91-104. doi: 10.1111/hdi.13071. Epub 2023 Feb 22.

Abstract

Chronic kidney disease-associated pruritus (CKD-aP) is a common and distressing symptom for patients with CKD and a difficult challenge for nephrologists and dermatologists. Recent results showed the multifactorial nature of the pathophysiology, and therapeutic trials were only successful in certain subsets of patients. The clinical manifestations are varied, with xerosis being the most common dermatological manifestation and correlated with the intensity of CKD-aP. A better understanding of the pathophysiology of xerosis in CKD-aP and appropriate topical treatment could correct xerosis to reduce the intensity of CKD-aP and improve the patient's quality of life.

摘要

慢性肾脏病相关性瘙痒(CKD-aP)是慢性肾脏病患者常见且令人苦恼的症状,对肾内科医生和皮肤科医生来说是一项艰巨挑战。近期研究结果表明其病理生理具有多因素性质,治疗试验仅在某些患者亚组中取得成功。其临床表现多样,皮肤干燥是最常见的皮肤表现,且与CKD-aP的严重程度相关。更好地理解CKD-aP中皮肤干燥的病理生理并进行适当的局部治疗,可纠正皮肤干燥,减轻CKD-aP的严重程度,提高患者生活质量。

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