39 results match your criteria Bullous Disease of Dialysis

Kidney and Urinary Tract Involvement in Epidermolysis Bullosa: Is Routine Follow-Up Necessary?

Dermatol Pract Concept 2021 May 20;11(3):e2021051. Epub 2021 May 20.

Department of Pediatric Nephrology, Marmara University School of Medicine, Istanbul, Turkey.

Background: Several renal and urinary tract complications have been reported in patients with epidermolysis bullosa.

Objective: This study investigated kidney and urinary tract involvement in patients with epidermolysis bullosa.

Patients And Methods: Patients with epidermolysis bullosa in treatment at the Dermatology Unit were included in the study. Read More

View Article and Full-Text PDF

Bullous pemphigoid in patients receiving peritoneal dialysis: a case series and a literature survey.

Ren Fail 2021 Dec;43(1):651-657

Apheresis and Dialysis Center, School of Medicine, Keio University, Tokyo, Japan.

Bullous pemphigoid (BP) is an autoimmune subepidermal blistering disease. Although several cases of BP in end-stage renal disease patients receiving peritoneal dialysis (PD) or hemodialysis have been reported, the incidence of BP in these patients remains unknown. We recently experienced three PD patients diagnosed with BP. Read More

View Article and Full-Text PDF
December 2021

Reactive Perforating Collagenosis; An Uncontrolled Pruritus That Left You Scratching Your Head.

Cureus 2020 Jul 14;12(7):e9175. Epub 2020 Jul 14.

Internal Medicine, State University of New York Upstate Medical University, Syracuse, USA.

Acquired perforating collagenosis is a rare disease of altered collagen formation that is extruded through the epidermis. It is most commonly seen in patients with microvascular disease including longstanding diabetes and chronic kidney disease (CKD). Due to the rarity of the disease, no large randomized clinical studies have been performed to determine the most efficacious method of treatment. Read More

View Article and Full-Text PDF

Development of Bullous Pemphigoid after Tenckhoff Catheter Placement in a Peritoneal Dialysis Patient.

Davide Giunzioni

Case Rep Dermatol 2020 Jan-Apr;12(1):42-46. Epub 2020 Mar 17.

Division of Nephrology, Department of Internal Medicine, Ospedale Regionale di Lugano, Ente Ospedaliero Cantonale, Lugano, Switzerland.

Bullous pemphigoid (BP), a chronic autoimmune subepidermal blistering skin disease, has been described in end-stage renal disease patients requiring dialysis after the placement of an artero-venous fistula. We report a case of a novel onset of BP following a peritoneal dialysis abdominal Tenckhoff catheter placement. The 3-month treatment with systemic doxycycline and topical clobetasol propionate allowed a rapid disappearing of the blisters and left the patient free of symptoms in the follow-up. Read More

View Article and Full-Text PDF

Dipeptidyl peptidase-4 inhibitor-associated bullous pemphigoid, likely triggered by scabies, in a hemodialysis patient with human leukocyte antigen-DQB1*03:01.

CEN Case Rep 2020 08 28;9(3):189-194. Epub 2020 Jan 28.

Department of Nephrology and Rheumatology, Rakuwakai Otowa Hospital, 2, Otowa Chinji-cho, Yamashina-ku, Kyoto, 607-8062, Japan.

Bullous pemphigoid (BP) is the most common autoimmune subepidermal bullous diseases. Autoantibodies against hemidesmosomal adhesion proteins might be involved in the developing process. BP usually affects the elderly with high mortality whereas the drug-induced BP is often improved and rarely relapses after the withdrawal of the suspected drug. Read More

View Article and Full-Text PDF

Renal histological findings in a patient with acute renal injury associated with purpura fulminans: a case report.

J Bras Nefrol 2019 Apr-Jun;41(2):296-299. Epub 2018 Sep 13.

Universidade Estadual de Londrina, Londrina, PR, Brasil.

Introduction: Purpura fulminans (PF) is a rapid progressive thrombotic disease in which hemorrhagic infarction of the skin and disseminated intravascular coagulation (DIC) occurs. It can potentially cause acute kidney injury (AKI). However, there is no description in the medical literature of renal histological findings of PF. Read More

View Article and Full-Text PDF
February 2020

Vascular mapping for the decision of hemodialysis access method: Case report.

J Vasc Access 2019 May 21;20(1_suppl):84-86. Epub 2018 Mar 21.

Tokatsu-Clinic Hospital, Matsudo, Japan.

Preoperative ultrasound vascular mapping was performed to determine the surgical method for two cases where standard arteriovenous fistula was not possible. In case 1, the previous arteriovenous fistula of the left arm was occluded, and arteriovenous graft of the right arm was thrombosed after frequent percutaneous transluminal angioplasty. Contrast medium was contraindicated because of allergy. Read More

View Article and Full-Text PDF

Mucocutaneous Manifestations in Patients with Chronic Kidney Disease: A Cross-sectional Study.

Indian Dermatol Online J 2018 Jan-Feb;9(1):20-26

Department of Dermatology, Venereology and Leprosy, Dr. R. P. Govt. Medical College, Kangra, Himachal Pradesh, India.

Background: Chronic kidney disease (CKD)-associated mucocutaneous manifestations significantly impair the quality of life but often remain understudied. They may also vary across regions, socioeconomic and nutritional status, and racial differences.

Objectives: To study the patterns of mucocutaneous disorders and their prevalence in CKD patients irrespective of clinical stage or dialysis status. Read More

View Article and Full-Text PDF
February 2018

New diagnosis of bullous pemphigoid after withdrawal of immunosuppressive therapy in a failed renal transplant recipient on hemodialysis.

Hemodial Int 2018 04 11;22(2):E26-E32. Epub 2017 Dec 11.

Division of Nephrology, Department of Internal Medicine, University of Mississippi Medical Center, Jackson, Mississippi, USA.

The occurrence of the autoimmune blistering disease, bullous pemphigoid (BP), in patients with failed renal allograft is rare and the few reported cases suggest various provocative factors without reaching a consensus. Here we report the case of a patient presenting with bullous lesions soon after the complete discontinuation of immunosuppressant therapy following renal allograft failure. Skin biopsy confirmed the diagnosis of BP. Read More

View Article and Full-Text PDF

Treatment of severe drug reactions by hemodialysis.

Int J Dermatol 2018 Feb 22;57(2):177-182. Epub 2017 Nov 22.

Department of Medicine, Division of Nephrology and Hypertension, Mayo Clinic, Rochester, MN, USA.

Background: Extracorporeal treatments such as hemodialysis and plasma exchange are lifesaving measures in the treatment of drug poisoning. This treatment method generally is not used for severe cutaneous and systemic drug reactions.

Methods: Here, we describe three cases wherein hemodialysis therapy was instrumental in reversing the adverse drug reaction. Read More

View Article and Full-Text PDF
February 2018

The Inpatient Burden of Autoimmune Blistering Disease in US Children: Analysis of Nationwide Inpatient Sample Data.

Am J Clin Dermatol 2017 Apr;18(2):287-297

Departments of Dermatology, Preventive Medicine and Medical Social Sciences, Northwestern University Feinberg School of Medicine, Suite 1600, 676 N. St. Clair St., Chicago, IL, 60611, USA.

Background: Little is known about the epidemiology of pediatric autoimmune blistering disorders (PAIBD).

Objective: We sought to determine the inpatient burden and comorbidities of PAIBD.

Methods: We analyzed data from the Nationwide Inpatient Sample from 2002 to 2012, which contained a representative 20% sample of all US hospitalizations. Read More

View Article and Full-Text PDF

Development of bullous pemphigoid during the haemodialysis of a young man: case report and literature survey.

Int Wound J 2017 Feb 17;14(1):288-292. Epub 2016 Oct 17.

Department of Dermatology and Immunodermatology, Medical University of Warsaw, Warsaw, Poland.

Haemodialysis is the most frequent form of renal replacement therapy (RRT) in patients with end-stage renal disorder (ESRD). Patients with ESRD frequently develop skin problems, mainly xerosis, pruritus and hyperpigmentation, as well as bullous diseases, mainly porphyria or pseudoporphyria and, in some cases, bullous pemphigoid (BP). BP is the most common autoimmune sub-epidermal blistering disease, and it predominantly affects elderly people. Read More

View Article and Full-Text PDF
February 2017

Combined integrated protocol/basket trial design for a first-in-human trial.

Orphanet J Rare Dis 2016 10 4;11(1):134. Epub 2016 Oct 4.

Department of Clinical Pharmacology, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria.

Background: Innovative trial designs are sought to streamline drug development in rare diseases. Basket- and integrated protocol designs are two of these new strategies and have been applied in a handful oncologic trials. We have taken the concept outside the realm of oncology and report about a first-in-human integrated protocol design that facilitates the transition from phase Ia in healthy volunteers to phase Ib in patients with rare complement-mediated disorders driven by the classical pathway. Read More

View Article and Full-Text PDF
October 2016

Bullous Skin Lesions in a Patient with End-Stage Renal Disease and Hepatitis C.

Adv Perit Dial 2016;32:56-60

Methodist Dallas Medical Center, Dallas, Texas, U.S.A.

Bullous lesions in patients with end-stage renal disease are uncommon and can pose diagnostic and therapeutic challenges. We present a female patient with end-stage renal disease, bullous skin lesions affecting mainly sun-exposed areas, and high ferritin levels. She also had hepatitis C. Read More

View Article and Full-Text PDF
December 2017

Drug induced pseudoporphyria in CKD: A case report.

Indian J Nephrol 2015 Sep-Oct;25(5):307-9

Department of Medicine, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India.

Pseudoporphyria (PP) is used to describe a photodistributed bullous disorder with clinical and histologic features of porphyria cutanea tarda (PCT) but without accompanying biochemical porphyrin abnormalities. Medications, excessive sun and ultraviolet radiation exposure, have all been reported to develop PP. We report a case of PP in a 49-year-old man with CKD stage 3a, caused due to torsemide intake. Read More

View Article and Full-Text PDF
December 2015

Combined acute interstitial pneumonitis and pancytopenia induced by low-dose methotrexate in a hemodialysis patient treated for bullous pemphigoid.

An Bras Dermatol 2015 May-Jun;90(3 Suppl 1):43-5

Nanjing University, Nanjing, CN.

Methotrexate has been widely used for many years in the treatment of a variety of diseases. Acute pneumonitis and bone marrow suppression are very serious side effects in methotrexate treatment. A 48-year-old man with end-stage renal disease undergoing chronic hemodialysis developed combined acute pneumonitis and pancytopenia after a cumulative dose of 20 mg methotrexate for bullous pemphigoid. Read More

View Article and Full-Text PDF
January 2016

Dialysis-associated pseudoporphyria successfully treated with vitamin D. Report of two cases.

G Ital Dermatol Venereol 2015 Jun;150(3):327-9

Unit of Dermatology, NESMOS Department, Faculty of Medicine, Sant'Andrea" Hospital "Sapienza" University, Rome, Italy -

Pseudoporphyria refers to a rare bullous dermatosis characterized by the clinical and histological features of porfiria cutanea tarda without abnormalities in porphyrin metabolism. The pathogenesis is heterogeneous and several exogenous factors may promote the bullous lesion formation, including medications, end stage renal disease, dialysis and tanning beds. Regarding treatment of this condition, in literature different therapy have been reported, such as glutathione and his precursor N-acetylcysteine, which presents anti-oxidant properties; however even more toxic drugs, such as chloroquine, are used. Read More

View Article and Full-Text PDF

Nafcillin-induced bullous skin eruption with granulocytopenia in a patient with end-stage renal disease.

Intern Med 2012 1;51(3):287-9. Epub 2012 Feb 1.

Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Republic of Korea.

Nafcillin is an antibiotic used for infections due to penicillin-resistant Staphylococcus aureus. In general, the adverse reactions to nafcillin have not been frequent and serious. We report here a new type of adverse reaction to nafcillin in a patient with end-stage renal disease in whom nafcillin caused the unexpected complication of bullous drug eruption and subseqent neutropenia. Read More

View Article and Full-Text PDF
September 2012

Lepromatous leprosy in a kidney transplant recipient: a case report.

Exp Clin Transplant 2011 Jun;9(3):203-6

Department of Nephrology, Dialysis and Transplantation, Tabriz University of Medical Sciences, Tabriz, Iran.

Leprosy is a chronic granulomatous disease of the skin and peripheral nerves caused by Mycobacterium leprae. Among mycobacterial infections, leprosy is rare in renal transplant recipients. Here, we report the manifestations of lepromatous leprosy in a 41-year-old renal transplant recipient. Read More

View Article and Full-Text PDF

Comparison of cutaneous manifestations in chronic kidney disease with or without dialysis.

Postgrad Med J 2010 Nov;86(1021):641-7

Department of Dermatology & STD, and Medicine (Nephrology Division), University College of Medical Sciences & GTB Hospital, Dilshad Garden, Delhi, India.

Purpose: To study and compare dermatological manifestations in patients with various stages of chronic kidney disease (CKD) and end stage renal disease (ESRD), undialysed and dialysed, in a developing country.

Study Design: 200 patients were recruited, 50 each in stages 3, 4 and 5 CKD (undialysed) and 50 in stage 5 undergoing maintenance haemodialysis (MHD) for at least 1 month. Patients in stages 3 and 4 constituted pre-ESRD while stage 5 (both dialysed and undialysed) formed the ESRD group. Read More

View Article and Full-Text PDF
November 2010

Generalized pruritic eruption in a patient with chronic kidney disease.

Dermatol Online J 2010 Apr 15;16(4):10. Epub 2010 Apr 15.

Department of Dermatology, Belfast City Hospital, Belfast, County Antrim, Northern Ireland.

View Article and Full-Text PDF

Bullous skin lesions in a patient undergoing chronic hemodialysis.

Semin Dial 2010 Jan-Feb;23(1):83-7

Section of Nephrology, Rush University Medical Center, Chicago, Illinois 60607-1878, USA.

Porphyria cutanea tarda (PCT) is a vesiculobullous skin disorder characterized by a defect in heme biosynthesis. Reduced activity of the hepatic enzyme uroporphyrinogen decarboxylase (URO-D) results in accumulation of photosensitive porphyrins; this ultimately leads to the skin fragility and blistering that is characteristic of this disease. The majority of cases of PCT are associated with acquired deficiencies of the enzyme URO-D, secondary to hepatic injury precipitated by medications or infections. Read More

View Article and Full-Text PDF

Hematopoietic stem cell transplantation for systemic lupus erythematosus, the antiphospholipid syndrome and bullous skin diseases.

Autoimmunity 2008 Dec;41(8):639-47

Divisione di Ematologia e Trapianto di Cellule Staminali, Azienda Ospedaliera-Universitaria S.Martino, Genoa, Italy.

Systemic lupus erythematosus (SLE) is considered the paradigm of autoimmune diseases (AD), and the murine models are known to be curable by means of allogeneic hematopoietic stem cell transplantation (HSCT). However autologous transplantations were predominantly utilized in the clinic, starting from 1996, and by now well over 150 very severe patients have been transplanted worldwide. Transplant-related mortality (TRM) in 153 cases was 7%, with a wide center effect (from 0-2% to 13%). Read More

View Article and Full-Text PDF
December 2008

[Kidney diseases in dystrophic epidermolysis bullosa: case report].

Nephrol Ther 2008 Jun 20;4(3):187-95. Epub 2008 Feb 20.

Unité de néphrologie-hémodialyse, centre hospitalier d'Annecy, 74000 Annecy, France.

Dystrophic epidermolysis bullosa is a genetic skin disease of which the recessive subtype also named Hallopeau-Siemens is the most severe. It is due to lack of expression of type VII collagen which is essential for dermal anchoring. Severe obstructive uropathies of the urethral and bladder area may occur during the first years of life, in relation to local bullous activity. Read More

View Article and Full-Text PDF

A case of haemodialysis-associated pseudoporphyria successfully treated with oral N-acetylcysteine.

N S Cooke K McKenna

Clin Exp Dermatol 2007 Jan;32(1):64-6

Department of of Dermatology, Belfast City Hospital, Belfast, UK.

We report a 33-year-old woman with haemodialysis-associated pseudoporphyria successfully responding to treatment with oral N-acetylcysteine. We briefly review the current literature on bullous skin disorders in end-stage renal disease, and compare and contrast the pathogenesis of pseudoporphyria and porphyria cutanea tarda in this context. We also discuss the antioxidant properties and clinical applications of N-acetylcysteine, including the treatment of haemodialysis-associated pseudoporphyria. Read More

View Article and Full-Text PDF
January 2007

Pyoderma gangrenosum occurring near an arteriovenous dialysis shunt.

Int J Dermatol 2006 Jul;45(7):851-3

Walter Reed Army Medical Center, Washington, DC, USA.

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.(1) Diagnosis of PG is based on clinical presentation, histopathology and on the exclusion of other diseases that can produce clinically similar lesions, e. Read More

View Article and Full-Text PDF

Images in emergency medicine. Bullous disease of dialysis.

Isaac Grate

Ann Emerg Med 2006 Jun 10;47(6):531, 544. Epub 2006 Feb 10.

University of Texas Health Science Center, LBJ General Hospital, Houston, TX, USA.

View Article and Full-Text PDF

[Nephrologists and porphyrias].

G Ital Nefrol 2002 Jul-Aug;19(4):393-412

Dipartimento di Medicina Interna, Cattedra di Nefrologia dell'Universita' di Torino, Torino.

As usually occurs for rare diseases, the word "PORPHYRIA" often recalls a confused topic with shaded boundaries, presenting "bullous" skin lesions, rare opportunity of diagnosis in clinical practice, unknown pathogenesis, and almost absent therapeutic options. The goal of this review is to draw attention to this topic, as new diagnostic and therapeutic tools might change the natural history of this disease. Porphyrias are disorders resulting from abnormalities of porphyrin metabolism. Read More

View Article and Full-Text PDF
December 2002

Cutaneous manifestations of end-stage renal disease.

J Am Acad Dermatol 2000 Dec;43(6):975-86;quiz 987-90

Department of Dermatology, Brown University School of Medicine/Rhode Island Hospital, Providence, 02903, USA.

Examination of the skin and nails can reveal many abnormalities in patients with end-stage renal disease that precede or follow initiation of dialysis treatment or kidney transplantation. This article focuses on specific and nonspecific cutaneous signs of end-stage renal disease, reviewing both banal and life-threatening conditions, including pruritus, perforating disorders, calcifying disorders, and bullous dermatoses. The pathogenesis, clinical findings, histologic findings, differential diagnosis, and treatment of these diseases are discussed. Read More

View Article and Full-Text PDF
December 2000

Bullous dermatoses in end-stage renal failure: porphyria or pseudoporphyria?

Am J Kidney Dis 1999 Jul;34(1):155-60

Renal Section, Imperial College School of Medicine, London, UK.

Bullous dermatoses (BD) are well recognized in patients with end-stage renal disease (ESRD). It is important to distinguish pseudoporphyria (porphyrin accumulation due to decreased clearance) from true porphyrias, particularly those in which acute neurological attacks may occur. Investigation of the dialysis patient poses practical diagnostic difficulties because urinary porphyrin profiles are not available. Read More

View Article and Full-Text PDF