Calciphylaxis: a rare but potentially fatal event of chronic kidney disease. Case report

Author:

Marques Silvio Alencar1,Kakuda Aline Cruz2,Mendaçolli Thais Jung2,Abbade Luciana P. Fernandes1,Marques Mariângela Esther Alencar1

Affiliation:

1. São Paulo State University "Júlio de Mesquita Filho", Brazil

2. Brazilian Society of Dermatology, Brazil

Abstract

Calciphylaxis or calcific uremic arteriolopathy is a rare cutaneous-systemic disease occurring in patients with advanced chronic kidney disease. The classical clinical picture is that of a necrotic and progressive skin ulcer of reticular pattern, mostly in the lower legs and susceptible to local infection. It is a product of mural calcification and occlusion of cutaneous and sub-cutaneous arteries and arterioles. The authors report the case of a 73-year-old male patient in his late stage of renal disease presenting severe necrotic cutaneous ulcers on lower legs followed by local and systemic infection and death due to sepse after parathyroidectomy.

Publisher

FapUNIFESP (SciELO)

Subject

Dermatology

Reference10 articles.

1. Calciphylaxis: a still unmet challenge;Brandenburg VM;J Nephrol,2011

2. Calciphylaxis in CKD and beyond;Brandenburg VM;Nephrol Dial Transplant,2012

3. Calciphylaxis, a diagnostic and therapeutic challenge: report of a successful case;Roncada EV;An Bras Dermatol,2012

4. Calciphylaxis: calcific uremic arteriolopathy and the emerging role of sodium thiosulfate;Hayden MR;Int Urol Nephrol,2008

5. Unusual causes of cutaneous ulceration;Panuncialman J;Surg Clin North Am,2010

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