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[血液透析所致迟发性皮肤假性卟啉症的反复静脉切开术(作者译)]

[Repeated venesection in pseudoporphyria cutanea tarda of hemodialysis (author's transl)].

作者信息

Pecchini F, Emanuelli C, Gruttad'auria C, Orlandini G

出版信息

Ateneo Parmense Acta Biomed. 1980;51(5):439-43.

PMID:7225151
Abstract

Cutaneous syndrome called porphyria tarda-like of dialyzed patients may involve risk of infections besides aesthetic complications. We have described a very serious case of which the therapeutic problem has become oppressive inducing various attempts, already used for porphyria cutanea tarda or completely new. The only treatment which brought improvement in symptomatology was repeated venesection. Aminoacidic loss during dialysis appears as possible pathogenetic hypothesis for this syndrome.

摘要

透析患者的一种类似迟发性皮肤卟啉症的皮肤综合征,除了美观并发症外,还可能涉及感染风险。我们描述了一个非常严重的病例,其治疗问题变得极为棘手,引发了各种尝试,既有已用于迟发性皮肤卟啉症的方法,也有全新的方法。唯一能使症状得到改善的治疗方法是反复静脉放血。透析过程中的氨基酸损失似乎是该综合征可能的发病机制假说。

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