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一名血液透析患者新发斑块状银屑病:病例报告及文献复习

New Onset Plaque Psoriasis in a Hemodialysis Patient: A Case Report and Review of Literature.

作者信息

AlKindi Fatima, Saedi Mariam Al, Boobes Yousef

机构信息

Department of Internal Medicine, Tawam Hospital, United Arab Emirates.

Department of Family Medicine, Ambulatory Health Care Services, United Arab Emirates.

出版信息

Indian J Nephrol. 2024 Mar-Apr;34(2):195-197. doi: 10.4103/ijn.ijn_57_22. Epub 2023 Aug 10.

DOI:10.4103/ijn.ijn_57_22
PMID:38681003
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11044658/
Abstract

Psoriasis is a common chronic skin condition characterized by erythematous plaques with silvery scales. Several small studies have shown the beneficial effects of peritoneal dialysis and hemodialysis on severe psoriasis cases that were refractory to different therapies even without renal impairment. On the other hand, new onset psoriasis after the initiation of hemodialysis or peritoneal dialysis in end-stage renal disease (ESRD) patients has been rarely reported. We describe a 37-year-old male ESRD patient who developed plaque psoriasis two months after starting hemodialysis. We reviewed the published cases of psoriasis in dialysis patients and the potential therapeutic options used.

摘要

银屑病是一种常见的慢性皮肤病,其特征为带有银色鳞屑的红斑斑块。几项小型研究表明,腹膜透析和血液透析对即使没有肾功能损害但对不同疗法均难治的重度银屑病病例具有有益效果。另一方面,终末期肾病(ESRD)患者在开始血液透析或腹膜透析后新发银屑病的情况鲜有报道。我们描述了一名37岁的男性ESRD患者,他在开始血液透析两个月后出现了斑块状银屑病。我们回顾了已发表的透析患者银屑病病例以及所使用的潜在治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8786/11044658/28cc75ec5fba/IJN-34-2-195-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8786/11044658/28cc75ec5fba/IJN-34-2-195-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8786/11044658/28cc75ec5fba/IJN-34-2-195-g1.jpg

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本文引用的文献

1
Psoriasis Pathogenesis and Treatment.银屑病发病机制与治疗。
Int J Mol Sci. 2019 Mar 23;20(6):1475. doi: 10.3390/ijms20061475.
2
Increased risk of incident psoriasis in end-stage renal disease patients on chronic hemodialysis: A nationwide population-based cohort study.慢性血液透析的终末期肾病患者发生银屑病的风险增加:一项全国范围内基于人群的队列研究。
J Dermatol. 2018 Sep;45(9):1063-1070. doi: 10.1111/1346-8138.14531. Epub 2018 Jul 11.
3
Psoriasis in a Patient on Peritoneal Dialysis: a Two-sided Mirror.一名接受腹膜透析患者的银屑病:两面镜子
Iran J Kidney Dis. 2017 Jan;11(1):70-73.
4
Ustekinumab treatment in patients with psoriasis undergoing hemodialysis.接受血液透析的银屑病患者使用乌司奴单抗治疗。
J Dermatol. 2015 Jul;42(7):731-4. doi: 10.1111/1346-8138.12903. Epub 2015 May 11.
5
New-onset psoriasis during peritoneal dialysis.腹膜透析期间新发银屑病
Perit Dial Int. 2014 Nov-Dec;34(7):802-3. doi: 10.3747/pdi.2013.00249.
6
New-onset psoriasis in a maintenance hemodialysis patient.
Hemodial Int. 2012 Jan;16(1):109-12. doi: 10.1111/j.1542-4758.2011.00616.x.
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Peritoneal dialysis for psoriasis: a controlled study.
Ann Intern Med. 1983 Aug;99(2):165-8. doi: 10.7326/0003-4819-99-2-165.