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肾淀粉样变性与皮下药物滥用。

Renal amyloidosis and subcutaneous drug abuse.

作者信息

Meador K H, Sharon Z, Lewis E J

出版信息

Ann Intern Med. 1979 Oct;91(4):565-7. doi: 10.7326/0003-4819-91-4-565.

DOI:10.7326/0003-4819-91-4-565
PMID:484955
Abstract

Two drug addicts who practiced subcutaneous injection of crushed tripelennamine and pentazocine tablets, a practice known as "skin-popping," developed nephrotic syndrome and demonstrated amyloidosis on renal biopsy. These patients had chronic inflammation of the skin in the form of abscesses and ulcerations. Although both patients were long-standing drug abusers, they had practiced intradermal drug administration for only 3 years. The occurrence of amyloidosis in these patients appears to relate to their particular drug habir and must be considered in the differential diagnosis of proteinuria in this patient population.

摘要

两名吸毒者通过皮下注射碾碎的曲吡那敏和喷他佐辛片剂(这种做法被称为“皮肤注射”),患上了肾病综合征,并且肾活检显示有淀粉样变性。这些患者有以脓肿和溃疡形式存在的慢性皮肤炎症。尽管两名患者都是长期吸毒者,但他们进行皮内给药仅3年。这些患者中淀粉样变性的发生似乎与他们特定的吸毒习惯有关,在对该患者群体蛋白尿进行鉴别诊断时必须予以考虑。

相似文献

1
Renal amyloidosis and subcutaneous drug abuse.肾淀粉样变性与皮下药物滥用。
Ann Intern Med. 1979 Oct;91(4):565-7. doi: 10.7326/0003-4819-91-4-565.
2
Renal amyloidosis with nephrotic syndrome in a Spanish subcutaneous heroin abuser.一名西班牙皮下注射海洛因滥用者并发肾病综合征的肾淀粉样变性
Nephrol Dial Transplant. 1988;3(4):471-3. doi: 10.1093/oxfordjournals.ndt.a091701.
3
Amyloidosis secondary to drug abuse and chronic skin suppuration.药物滥用和慢性皮肤化脓继发的淀粉样变性病
Arch Intern Med. 1978 Jul;138(7):1150-1.
4
Amyloidosis in subcutaneous heroin abusers ("skin poppers' amyloidosis").皮下海洛因滥用者的淀粉样变性(“皮肤注射者淀粉样变性”)
Am J Med. 1986 Oct;81(4):635-40. doi: 10.1016/0002-9343(86)90550-4.
5
Chronic sclerosing glomerulopathy (heroin-associated nephropathy) in intravenous T's and Blues abusers.静脉注射兴奋剂(T's and Blues)滥用者中的慢性硬化性肾小球病(海洛因相关性肾病)
Am J Kidney Dis. 1986 Dec;8(6):404-9. doi: 10.1016/s0272-6386(86)80166-4.
6
T's and blues. Abuse of pentazocine and tripelennamine.丁丙诺啡与三氟拉嗪。喷他佐辛和曲吡那敏的滥用。
JAMA. 1980 Sep 12;244(11):1224-5. doi: 10.1001/jama.244.11.1224.
7
Medical and psychiatric complications of pentazocine and tripelennamine abuse.喷他佐辛和曲吡那敏滥用的医学及精神科并发症。
J Clin Psychiatry. 1980 Aug;41(8):275-8.
8
Renal amyloidosis in a drug abuser.一名药物滥用者的肾淀粉样变性
J Am Soc Nephrol. 1995 Mar;5(9):1653-8. doi: 10.1681/ASN.V591653.
9
Association of infection caused by Pseudomonas aeruginosa serotype O11 with intravenous abuse of pentazocine mixed with tripelennamine.铜绿假单胞菌O11血清型感染与静脉注射喷他佐辛和曲吡那敏混合物滥用的关联。
J Clin Microbiol. 1984 Oct;20(4):758-62. doi: 10.1128/jcm.20.4.758-762.1984.
10
Abuse and pulmonary complications of injecting pentazocine and tripelennamine tablets.
Clin Toxicol. 1979 Mar;14(3):301-6. doi: 10.3109/15563657908992449.

引用本文的文献

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Mucocutaneous Manifestations of Recreational Drug Use.娱乐性药物使用的黏膜皮肤表现。
Am J Clin Dermatol. 2024 Mar;25(2):281-297. doi: 10.1007/s40257-023-00835-y. Epub 2024 Jan 13.
2
Systematic review of nephrotoxicity of drugs of abuse, 2005-2016.2005 - 2016年药物滥用肾毒性的系统评价
BMC Nephrol. 2017 Dec 29;18(1):379. doi: 10.1186/s12882-017-0794-0.
3
AA protein-related renal amyloidosis in drug addicts.药物成瘾者中的AA蛋白相关性肾淀粉样变性
Am J Pathol. 1983 Aug;112(2):195-9.
4
Medical complications of intravenous drug use.静脉注射吸毒的医学并发症。
J Gen Intern Med. 1990 May-Jun;5(3):249-57. doi: 10.1007/BF02600544.