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由快速进行性动脉闭塞综合征引起的急性肾衰竭——科尔迈尔-德戈斯病?

Acute renal failure caused by a rapidly progressive arterio-occlusive syndrome--Köhlmeier-Degos' disease?

作者信息

Björck S, Johansson S L, Aurell M

出版信息

Scand J Urol Nephrol. 1984;18(4):343-6. doi: 10.3109/00365598409180208.

DOI:10.3109/00365598409180208
PMID:6505651
Abstract

A 45-year-old man who presented with acute renal insufficiency is described. He deteriorated during haemodialysis, developed severe gastrointestinal bleedings, and died two months after his initial admission. Histopathological changes responsible for his renal disease were focal narrowing and occlusion of the arteries of the kidneys due to concentric intimal proliferation. These findings are consistent with those described in Köhlmeier-Degos' disease, a fatal cutaneo-intestinal arterio-occlusive syndrome. Therefore we consider our patient to represent a case of this disease, which may be added to the list of rare causes of acute renal failure.

摘要

本文描述了一名45岁的急性肾功能不全男性患者。他在血液透析过程中病情恶化,出现严重的胃肠道出血,并在初次入院两个月后死亡。导致其肾脏疾病的组织病理学变化是由于同心性内膜增生导致肾动脉局灶性狭窄和闭塞。这些发现与Köhlmeier-Degos病(一种致命的皮肤-肠道动脉闭塞综合征)中描述的情况一致。因此,我们认为该患者代表了这种疾病的一个病例,这种疾病可能会被添加到急性肾衰竭的罕见病因列表中。

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1
Acute renal failure caused by a rapidly progressive arterio-occlusive syndrome--Köhlmeier-Degos' disease?由快速进行性动脉闭塞综合征引起的急性肾衰竭——科尔迈尔-德戈斯病?
Scand J Urol Nephrol. 1984;18(4):343-6. doi: 10.3109/00365598409180208.
2
Rapidly progressing arterio-occlusive syndrome in a patient receiving long-term hemodialysis. Kohlmeier-Degos disease?一名接受长期血液透析的患者出现快速进展的动脉闭塞综合征。科尔迈尔-德戈斯病?
Arch Intern Med. 1981 Sep;141(10):1331-5.
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[Case of disseminated intestinal and cutaneous thromboangiitis (Kohlmeier-Degos' syndrome)].[播散性肠道和皮肤血栓性血管炎(科尔迈尔-德戈斯综合征)病例]
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[A report of an atypical case of Degos' disease with multiple perforations of the stomach and small intestine].[一例伴有胃和小肠多发穿孔的德戈斯病非典型病例报告]
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引用本文的文献

1
Degos disease - malignant atrophic papulosis or cutaneointestinal lethal syndrome: rarity of the disease.德戈斯病——恶性萎缩性丘疹病或皮肤肠道致命综合征:该疾病的罕见性。
Clin Exp Gastroenterol. 2015 Apr 16;8:141-7. doi: 10.2147/CEG.S59794. eCollection 2015.
2
Renovascular hypertension in a child with Degos-Köhlmeier disease.患有德戈斯-科尔迈尔病的儿童的肾血管性高血压。
Pediatr Radiol. 1987;17(3):260-1. doi: 10.1007/BF02388181.