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热带环境下肾移植受者的皮肤病变谱

Spectrum of dermatological lesions in renal allograft recipients in a tropical environment.

作者信息

Chugh K S, Sharma S C, Singh V, Sakhuja V, Jha V, Gupta K L

机构信息

Department of Nephrology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

出版信息

Dermatology. 1994;188(2):108-12. doi: 10.1159/000247112.

DOI:10.1159/000247112
PMID:8136535
Abstract

A total of 157 renal allograft recipients were followed for over 1-23 months for the development of dermatological lesions. The non-infective lesions related to immunosuppressive drugs included cushingoid features in 133 (84.7%), xerosis in 120 (76.4%), striae in 69 (43.9%), hypertrichosis in 65 (21.6%), facial erythema in 42 (26.7%) and friable skin in 34 (21.4%) patients. Of the infective lesions, cutaneous mycoses were the most frequent (82.6%) and included tinea corporis and cruris in 82 (52.2%), tinea versicolor in 21 (13.3%), candidiasis in 7 (4%), onychomycosis in 4 (2%) and cryptococcosis in 2 (1.2%) patients. Viral infections included those due to herpes zoster in 17 (10.8%), herpes simplex in 5 (3.1%) and viral warts in 13 (8.2%) patients. Cutaneous malignancy was seen in 1 patient only.

摘要

共有157例肾移植受者接受了1至23个月的随访,以观察皮肤病变的发生情况。与免疫抑制药物相关的非感染性病变包括133例(84.7%)出现库欣样特征、120例(76.4%)出现皮肤干燥、69例(43.9%)出现萎缩纹、65例(21.6%)出现多毛症、42例(26.7%)出现面部红斑以及34例(21.4%)出现皮肤脆薄。在感染性病变中,皮肤真菌病最为常见(82.6%),包括82例(52.2%)体股癣、21例(13.3%)花斑癣、7例(4%)念珠菌病、4例(2%)甲癣和2例(1.2%)隐球菌病。病毒感染包括17例(10.8%)带状疱疹、5例(3.1%)单纯疱疹和13例(8.2%)病毒疣。仅1例出现皮肤恶性肿瘤。

相似文献

1
Spectrum of dermatological lesions in renal allograft recipients in a tropical environment.热带环境下肾移植受者的皮肤病变谱
Dermatology. 1994;188(2):108-12. doi: 10.1159/000247112.
2
Mucocutaneous lesions in transplant recipient in a tropical country.热带国家移植受者的皮肤黏膜病变
Transplant Proc. 2004 Sep;36(7):2162-4. doi: 10.1016/j.transproceed.2004.08.011.
3
[Skin manifestations in 140 kidney transplants].
Recenti Prog Med. 1992 Feb;83(2):61-3.
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[Skin pathology in kidney transplant recipients].[肾移植受者的皮肤病理学]
Acta Med Port. 1992 Jul;5(7):359-64.
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[Drug-induced dermatological pathology in renal transplantation patients].[肾移植患者的药物性皮肤病理学]
Rev Med Chir Soc Med Nat Iasi. 2005 Jan-Mar;109(1):36-9.
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[Dermatological complications in immunosuppressed patients after kidney transplantation].肾移植后免疫抑制患者的皮肤并发症
Schweiz Med Wochenschr. 1980 Sep 6;110(36):1307-13.
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Prevalence and clinical spectrum of skin diseases in kidney transplant recipients.肾移植受者皮肤病的患病率及临床谱
J Am Acad Dermatol. 1991 Mar;24(3):410-4. doi: 10.1016/0190-9622(91)70061-6.
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Nonneoplastic mucocutaneous lesions in organ transplant recipients.器官移植受者的非肿瘤性黏膜皮肤病变。
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[Cutaneous complications following liver transplantation: epidemiologic and clinical study in 86 patients].[肝移植术后皮肤并发症:86例患者的流行病学及临床研究]
Ann Dermatol Venereol. 2002 Oct;129(10 Pt 1):1134-8.
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[Comparison of the prevalence frequency of infectious skin changes in dialyzed patients and after kidney transplantation].[透析患者与肾移植后感染性皮肤变化的患病率比较]
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引用本文的文献

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Looking back to move forward: a twenty-year audit of herpes zoster in Asia-Pacific.回首往昔,展望未来:亚太地区带状疱疹二十年审计报告
BMC Infect Dis. 2017 Mar 15;17(1):213. doi: 10.1186/s12879-017-2198-y.
2
Curious Case of Photo-distributed Verrucae in a Renal Transplant Patient: Report of Three Cases.肾移植患者中光分布性疣的罕见病例:三例报告
Indian J Dermatol. 2016 Jul-Aug;61(4):440-2. doi: 10.4103/0019-5154.185718.
3
A retrospective analysis of dermatological lesions in kidney transplant patients.肾移植患者皮肤病变的回顾性分析。
Indian J Med Res. 2013 Jun;137(6):1188-92.
4
Immunosuppressive drugs in paediatric liver transplantation.儿童肝移植中的免疫抑制药物
Paediatr Drugs. 2001;3(1):43-60. doi: 10.2165/00128072-200103010-00004.
5
Molecular evidence for the existence of disseminated zoster as a distinct entity in an immunosuppressed renal transplant patient.免疫抑制的肾移植患者中存在播散性带状疱疹这一独特实体的分子证据。
J Mol Med (Berl). 1995 Oct;73(10):525-8. doi: 10.1007/BF00198905.
6
Cutaneous defenses against dermatophytes and yeasts.皮肤对皮肤癣菌和酵母菌的防御。
Clin Microbiol Rev. 1995 Jul;8(3):317-35. doi: 10.1128/CMR.8.3.317.