Uremic pruritus

被引:23
作者
Kfoury, Lara W. [1 ]
Jurdi, Makram A. [2 ]
机构
[1] Brown Univ, Alpert Med Sch, Dept Internal Med, Div Renal Dis & Hypertens, Providence, RI 02912 USA
[2] E Tennessee State Univ, Coll Med, Dept Internal Med, Johnson City, TN 37614 USA
关键词
End-stage renal disease; Pruritus; Uremic; HEMODIALYSIS-RELATED PRURITUS; DOUBLE-BLIND; ULTRAVIOLET PHOTOTHERAPY; ERYTHROPOIETIN THERAPY; GENERALIZED PRURITUS; TACROLIMUS OINTMENT; DIALYSIS PATIENTS; PLASMA HISTAMINE; GABAPENTIN; NALTREXONE;
D O I
10.5301/jn.5000039
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Uremic pruritus remains one of the most frustrating and potentially disabling symptoms in patients with end-stage renal disease. It affects up to 90% of patients on dialysis. Several hypotheses have been postulated for the possible underlying etiology, but none is conclusive. Aside from kidney transplantation, which is the only definitive treatment, therapeutic approaches have largely been empirical, and no firm evidence-based treatments are available. The main goal of therapy remains to minimize the severity of pruritus and improve the quality of life especially among those who are not transplantation candidates or are waiting for surgery.
引用
收藏
页码:644 / 652
页数:9
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