Lauret P, Godin M, Bravard P
Dermatologica. 1985;171(6):463-8. doi: 10.1159/000249474.
A 68-year-old woman treated by hemodialysis for chronic renal failure received 30.4 g iodine for an intravenous pyelogram. Three days later, she was covered by aseptic pustules which quickly evolved into vegetating masses on the face. Skin pathology showed dermo-epidermal necrosis with dermal polymorphonuclear infiltrates, sometimes pycnotic, and necrotizing vasculitis. Serum iodine was far above normal values. Hemodialysis and local care resulted in good healing within 1.5 month. Four similar cases occurring in patients with renal failure are mentioned in literature.
一名68岁因慢性肾衰竭接受血液透析治疗的女性,在静脉肾盂造影时接受了30.4克碘剂。三天后,她面部出现无菌性脓疱,迅速发展为赘生物。皮肤病理学显示真皮表皮坏死,真皮有多形核浸润,有时细胞核固缩,并有坏死性血管炎。血清碘远高于正常值。血液透析和局部护理使病情在1.5个月内得到良好治愈。文献中提到了4例发生在肾衰竭患者中的类似病例。