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Pathophysiology of Martorell Hypertensive Ischemic Leg Ulcer (HYTILU)

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University of Zurich

关键词

抽象

Martorell hypertensive ischemic leg ulcer is a severe type of skin necrosis (skin infarction) which occurs in long-term hypertensive subjects.
Calciphylaxis (calcific uremic arteriolopathy) is a severe type of skin necrosis (skin infarction) which occurs in subjects with end-stage kidney disease or after kidney transplantation.

描述

Comparative study including

- 20 consecutive patients with Martorell HYTILU

- 10 consecutive patients with Calciphylaxis (calcific uremic arteriolopathy)

- 20 patients with venous ulcer

The following parameters are measured in the blood serum:

White blood count; c-reactive protein; creatinine; calcium (total); free (ionized) calcium; phosphate; albumin; 25-hydroxyvitamin-D; 1-25-dihydroxyvitamin-D; homocysteine; cystatin C alphafetoin, osteoprotegerin; fibroblast growth factor 23 (FGF-23); globular arrest 1 (GLA-1)

The following parameters are measured in samples of diseased (necrobiotic) skin:

alphafetoin, osteoprotegerin; fibroblast growth factor 23 (FGF-23); globular arrest 1 (GLA-1)

日期

最后验证: 09/30/2016
首次提交: 05/01/2011
提交的预估入学人数: 04/12/2012
首次发布: 04/15/2012
上次提交的更新: 10/26/2016
最近更新发布: 10/27/2016
实际学习开始日期: 08/31/2011
预计主要完成日期: 11/30/2018
预计完成日期: 11/30/2018

状况或疾病

Hypertensive Ischemic Leg Ulcer
Calciphylaxis

-

手臂组

干预/治疗
Hypertensive ischemic leg ulcer
Twenty consecutive patients with Martorell HYTILU as defined in: Arch Dermatol 2010;146:961-968
Calciphylaxis
Ten subjects with calciphylaxis (calcific uremic arteriolopathy) as described in: Vasa 1998;27:137-143
Venous ulcer (controls)
Twenty subjects with venous ulcers (CEAP C4-6) as described in: J Vasc Surg. 2004 Dec;40(6):1248-52

资格标准

有资格学习的年龄 20 Years 至 20 Years
有资格学习的性别All
取样方式Probability Sample
接受健康志愿者
标准

Inclusion Criteria:

- Having Martorell hypertensive ischemic leg ulcer (as defined above) or

- Having Calciphylaxis (calcific uremic arteriolopathy (as defined above) or

- Having a venous ulcer (as defined above)

Exclusion Criteria:

- None

结果

主要结果指标

1. Martorell HYTILU and calciphylaxis show both decreased tissue protection mechanisms against tissue calcification [36 months]

Comparison of the calcification-protective factors GLA-1(serum protein alpha2-Heremans-Schmid glycoprotein/fetuin A), Osteoprotegerin, Fibroblast Growth Factor 23, and Alphafetoin in: Martorell HYTILU (A1) Calciphylaxis (calcific uremic arteriolopathy)(A2) Venous ulcers (as control group)(B)

次要成果指标

1. Martorell hypertensive ischemic leg ulcer and calciphylaxis are both characterized by non-infectious inflammation [36 months]

Comparison of C-reactive protein, procalcitonin and white blood cell count in: Martorell HYTILU (A1) Calciphylaxis (calcfic uremic arteriolopathy) (A2) Venous ulcers (control group) (B)

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