摘要
随着器官移植术的广泛开展,临床医生观察到移植术后部分患者的皮肤组织出现不明原因的硬化。现报道1例。
临床资料 患者男,48岁。全身皮肤进行性硬化1年。患者1年前在停用抗排异反应药物后3个月发现双侧胫前、前臂皮肤发紧,触之僵硬,至当地医院就诊考虑排异反应,给予口服骁悉、环孢菌素A,皮损控制不良,硬化程度加重、面积扩大累及躯干,在增加上述两药用量后皮损逐渐稳定。
出处
《中国麻风皮肤病杂志》
2013年第9期597-598,共2页
China Journal of Leprosy and Skin Diseases
参考文献7
-
1朱学骏.王宝玺.等编著.皮肤病学.第2版.北京:北京大学医学出版社,2010,10:1809-1810.
-
2Sharon R, Maria LH, Richard ET, et al. Cutaneous manifesta- tions of chronic graft-versus-host disease. Biol Blood Marrow Transplant, 2006,12( 11 ) : 1101-1113.
-
3Cowper SE, Robin HS, Steinberg SM, et al. Scleromyxoedema- like cutaneous diseases in renal-dialysis patients. Lancet,2000, 356 (9234) : 1000-1001.
-
4Gilman AL, Serody J. Diagnosis and treatment of chronic graft- versus-host disease. Semin Hematol,2006,43(1) :70-80.
-
5Dumford K, Anderson JC. CT and MRI findings in scleroderma- tous chronic graft vs. host disease. J Clin Imaging 25(2) :138- 140.
-
6朱学骏,孙建方.主译.皮肤病理学与临床的联系.第3版.北京:北京大学医学出版社,2006.12:254.
-
7王晓华,徐丽贤,骆丹,杨俊伟.肾源性纤维化硬皮病[J].国际皮肤性病学杂志,2006,32(1):38-40. 被引量:1
二级参考文献18
-
1Cowper SE,Robin HS,Steinberg SM,et al.Scleromyxoedema-like cutaneous diseases in renal-dialysis patients.Lancet,2000,356:1000-1001.
-
2Hubbard V,Davenport A,Jarmulowicz M,et al.Scleromyxoedema-like changes in four renal dialysis patients.Br J Dermatol,2003,148:563-568.
-
3Mackay-Wiggan JM,Cohen DJ,Hardy MA,et al.Nephrogenic fibrosing dermopathy (scleromyxedema-like illness of renal disease).J Am Acad Dermatol,2003,48:55-60.
-
4Moschella SL,Kay J,Mackool BT,et al.Case records of the Massachusetts General Hospital.Weekly clinicopathological exercises.Case 35-2004.A 68-year-old man with end-stage renal disease and thickening of the skin.N Engl J Med,2004,351:2219-2227.
-
5Perazella MA,Ishibe S,Perazella MA,et al.Nephrogenic fibrosing dermopathy:an unusual skin condition associated with kidney disease.Semin Dial,2003,16:276-280.
-
6Engelen JW,Kooistra MP,Canninga-van Dijk MR,et al.Nephrogenic fibrosing dermopathy.Ned Tijdschr Geneeskd,2003,147:2435-2438.
-
7Jimenez SA,Artlett CM,Sandorfi N,et al.Dialysis-associated systemic fibrosis (nephrogenic fibrosing dermopathy):study of inflammatory cells and transforming growth factor betal expression in affected skin.Arthritis Rheum,2004,50:2660-2666.
-
8Ruiz-Genao DP,Pascual-Lopez MP,Fraga S,et al.Osseous metaplasia in the setting of nephrogenic fibrosing dermopathy.J Cutan Pathol,2005,32:172-175.
-
9Cowper SE,Su LD,Bhawan J,et al.Nephrogenic fibrosing dermopathy.Am J Dermatopathol,2001,23:383-393.
-
10Swartz RD,Crofford LJ,Phan SH,et al.Nephrogenic fibrosing dermopathy:a novel cutaneous fibrosing disorder in patients with renal failure.Am J Med,2003,114:563-572.
同被引文献27
-
1齐焕英,付越,金江,张建中.硬皮病样慢性移植物抗宿主病2例[J].北京大学学报(医学版),2004,36(5):559-560. 被引量:2
-
2Jagasia MH,Greinix HT,Arora MA,et al.National institutes of health consensus development project on criteria for clinical trials in chronic Graft-versus-Host disease:I.the 2014 diagnosis and staging working group report[J].Biol Blood Marrow Transplant,2015,21(3):389-401.
-
3Inamoto Y,Storer BE,Petersdorf EW,et al,Incidence,risk factors,and outcomes of sclerosis in patients with chronic grafl-versus-host disease[J].Blood,2013,121(25):5098-103.
-
4White J,Creamer D,Du Vivier A,et al.Sclerodermatous grafl-versus-host disease:clinical spectrum and therapeutic challenges[J].Br J Dermatol,2007,156(5):1032-8.
-
5Martires KJ,Baird K,Steinberg SM,et al.Sclerotic-type chronic GVHD of the skin:clinical risk factors,laboratory markers,and burden of disease[J].Blood,2011,118(15):4250-7.
-
6Uhm J,Hamad N,Shin EM,et al.Incidence,risk factors,and Long-Term outcomes of sclerotic Grafl-versus-Host disease after allogeneic hematopoietic cell transplantation[J].Biol Blood Marrow Transplant,2014,20(11):1751-7.
-
7Skert C,Patriarca F,Sperotto A,et al.Sclerodermatous chronic graft-versus-host disease after allogeneic hematopoietic stem cell transplantation:incidence,predictors and outcome[J].Haematologica,2006,91(2):258-61.
-
8Clements P,Lachenbruch P,Siebold J,et al.Inter and intraobserver variability of total skin thickness score(modified Rodnan TSS)in systemic sclerosis[J].J Rheumatol,1995,22(7):1281-5.
-
9Shulman HM,Sale GE,Lemer KG,et al.Chronic cutaneous graft-versus-host disease in man[J].Am J Pathol,1978,91(3):545-70.
-
10Chosidow O,Bagot M,Vemant JP,et al.Sclerodermatous chronic grafl-versus-host disease.Analysis of seven cases[J].J Am Acad Dermatol,1992,26(1):49-55.
引证文献1
-
1杨欢,李志涛,林韧,范志平,黄芬,江千里,周红升,刘启发,孙竞.造血干细胞移植后硬皮病样慢性移植物抗宿主病的临床表现[J].南方医科大学学报,2016,36(6):807-813. 被引量:3
二级引证文献3
-
1李静,陈芳芳,李雯彬,张文杰.造血干细胞移植术后慢性肝脏移植物抗宿主病的危险因素[J].肝脏,2020,25(5):501-504. 被引量:2
-
2张婷,韩爱芝,龙章飚,葛健,杨明珍.异基因造血干细胞移植患者术后皮肤移植物抗宿主病的临床分析及护理对策[J].中华全科医学,2021,19(10):1789-1792. 被引量:9
-
3李小燕,李转丽,刘恒,葸瑞,白海.利妥昔单抗联合间充质干细胞治疗硬皮病样慢性移植物抗宿主病一例[J].海南医学,2022,33(8):1080-1082. 被引量:1
-
1顾斌,吴建永.小儿供肾移植2例报告及文献复习[J].临床泌尿外科杂志,2014,29(8):701-702. 被引量:2
-
2张丕红,黄晓元,龙剑虹.头面部刀伤样硬皮病手术治疗一例[J].中华外科杂志,2006,44(11):761-761. 被引量:2
-
3曾林如,谢庆平,石仕元,汪宇驰,蒋大权.全手皮肤脱套伤的治疗体会[J].中华手外科杂志,2001,17(B06):10-11. 被引量:13
-
4钟子敏.腹股沟皮瓣瘢痕修复对手及前臂皮肤烧伤瘢痕患者治疗分析[J].现代诊断与治疗,2015,26(4):848-849. 被引量:6
-
5Ching-Wei Chang Tsang-En Wang Shou-Chuan Shih Wen-Hsiung Chang Ming-Jen Chen.气性坏疽[J].世界临床医学,2009(8):710-711.
-
6林联铎,蔡晓燕.皮瓣修复治疗手及前臂皮肤烧伤瘢痕的疗效观察[J].中国医药科学,2014,4(4):179-181. 被引量:3
-
7张琪,张斌,关颖,王朋.皮瓣修复治疗手及前臂皮肤烧伤瘢痕的疗效观察[J].航空航天医学杂志,2016,27(11):1378-1379. 被引量:8
-
8郑晓红,王念祖,王恩玉,杨灵波,高奇英,吴华民,张羽,丁霞云,梁春梅.原位心脏移植一例长期随访[J].山西医药杂志,2003,32(2):141-142.
-
9陆瑾,陆安康.环孢菌素A在肾脏疾病中的临床应用进展[J].黑龙江医药,2001,14(6):450-452.
-
10杨华杰,于丽娜,殷红,景慎文.硬皮病伴急性肾功能衰竭的护理体会[J].山东医药,2003,43(5):67-68.