发生在血液透析动静脉分流通路附近的坏疽性脓皮病  

Pyoderma gangrenosum occurring near an arteriovenous dialysis shunt

作　　者：Sangiray H. Nguyen J.C. Turiansky G.W Norwood C.W. 周少娜 

机构地区：[1]USN Department, NNM, 8901 WisconsinAve., Bethesda,MD20814,United States Dr.

出　　处：《世界核心医学期刊文摘（皮肤病学分册）》2006年第9期54-54,共1页Digest of the World Core Medical JOurnals:Dermatology

摘　　要：Pyoderma gangrenosum (PG) is an uncommon cutaneous disease of unknown etiology. In 50 percent of affected patients, PG is associated with systemic disease including inflammatory bowel disease, arthritis, and hematologic malignancies. Diagnosis of PG is based on clinical presentation, histopathology and on the exclusion of other diseases that can produce clinically similar lesions, e.g. infection, vasculitis, malignancy, collagen vascular diseases, diabetes, and trauma. Four variants of PG have been described: ulcerative, pustular, bullous, and vegetative. We report a woman with renal failure who developed PG in the absence of any obvious triggering trauma in a distinctive unilateral crop just distal to an arteriovenous dialysis shunt.Pyoderma gangrenosum （PG） is an uncommon cutaneous disease of unknown etiology. In 50 percent of affected patients, PG is associated with systemic disease including inflammatory bowel disease, arthritis, and hematologic malignancies. Diagnosis of PG is based on clinical presentation, histopathology and on the exclusion of other diseases that can produce clinically similar lesions, e.g. infection, vasculitis, malignancy, collagen vascular diseases, diabetes, and trauma. Four variants of PG have been described： ulcerative, pustular, bullous, and vegetative. We report a woman with renal failure who developed PG in the absence of any obvious triggering trauma in a distinctive unilateral crop just distal to an arteriovenous dialysis shunt.

关 键 词：坏疽性脓皮病 动静脉分流 血液透析 通路 血液系统恶性肿瘤 系统性疾病 临床表现 炎症性肠病 

分 类 号：R753[医药卫生—皮肤病学与性病学]