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首页> 外文期刊>The Journal of dermatology >Successfully maintained hemodialysis for the treatment of chronic renal failure in a patient with Hallopeau-Siemens type recessive dystrophic epidermolysis bullosa
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Successfully maintained hemodialysis for the treatment of chronic renal failure in a patient with Hallopeau-Siemens type recessive dystrophic epidermolysis bullosa

机译:成功维持血液透析治疗哈洛波-西门子型隐性营养不良性大疱性表皮松解症患者的慢性肾衰竭

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摘要

Recessive dystrophic epidermoiysis bullosa (RDEB), characterized by skin fragility, blistering, scarring, nail changes and milia formation, is caused by mutations in a single gene, COL7A1, which encodes the anchoring fibril protein, type collagen. Hallopeau-Siemens type (RDEB-HS) is considered to be the most severe form of RDEB. Renal failure is a major complication and an important cause of mortality in patients withRDEB. However, regular hemodialysis in patients with severe RDEB is deemed impossible because establishing an internal arteriovenous fistula and repeated access are extremely difficult due to severe skin blisters.
机译:隐性营养不良性大疱性表皮大疱病(RDEB)的特征是皮肤脆弱,起泡,疤痕,指甲改变和and形成,是由单个基因COL7A1的突变引起的,该基因编码锚定纤维蛋白(胶原蛋白)。哈洛波-西门子型(RDEB-HS)被认为是最严重的RDEB形式。肾衰竭是RDEB患者的主要并发症,也是重要的死亡原因。但是,严重的RDEB患者不能进行定期的血液透析,因为由于严重的皮肤水泡,建立内部动静脉瘘和重复进入非常困难。

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