中国血液净化

中国血液净化 ›› 2022, Vol. 21 ›› Issue (09): 668-671.doi: 10.3969/j.issn.1671-4091.2022.09.010

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维持性血液透析特异性皮肤病的临床特点和治疗

李育梅   史均宝   

  1. 100191 北京，北京大学第三医院肾内科
  • 收稿日期:2022-02-21 修回日期:2022-03-28 出版日期:2022-09-12 发布日期:2022-09-06
  • 通讯作者: 史均宝 E-mail:shijunbao@bjmu.deu.cn

Clinical characteristics and treatment of specific skin diseases in maintenance hemodialysis patients    

LI Yu-mei,  SHI Jun-bao   

  1. Department of Nephrology, Peking University Third Hospital, Beijing 100191, China
  • Received:2022-02-21 Revised:2022-03-28 Online:2022-09-12 Published:2022-09-06
  • Contact: SHI Jun-bao E-mail:shijunbao@bjmu.deu.cn

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摘要： 维持性血液透析患者合并症较多，除熟知的透析相关合并症外，近年来对于血液透析患者合并罕见皮肤疾患的认识也在不断提高，如获得性穿孔性皮肤病、肾源性系统性纤维化、迟发性皮肤卟啉症、假性卟啉症、钙化防御等。血液透析合并特异性皮肤病致病原因复杂，临床表现各异，治疗方案和措施也各不相同，早期识别和正确诊断，及时开展预防和治疗这些特异性皮肤病的发生和发展可以有效改善透析患者的生活质量和预后。

关键词: 血液透析, 皮肤疾病, 临床特点, 治疗

Abstract: There are many complications in maintenance hemodialysis patients. In addition to the well-known dialysis-related complications, the awareness of rare skin diseases in hemodialysis patients has been increasing in recent years, such as acquired perforating dermatosis, nephrogenic systemic fibrosis, porphyria cutanea tarda, pseudoporphyria, calciphylaxis, and others. The causes of specific skin diseases complicated with hemodialysis are complex, the clinical manifestations are different, and the treatment measures are also different. Early identification, correct diagnosis, timely prevention and treatment of these specific skin diseases can effectively improve quality of life and prognosis of hemodialysis patients.

Key words: Hemodialysis, Skin diseases, Clinical characteristics, Treatment

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