Title of article
Multiple sites of calciphylaxis in a patient with chronic renal failure
Author/Authors
hanna, r.m. University of California, Los Angeles - David Geffen School of Medicine, Ronald Regan UCLA Medical Center, Olive-View UCLA Medical Center - Division of Nephrology, Department of Medicine, USA , nabil, j.r. University of California, Los Angeles - David Geffen School of Medicine, Ronald Regan UCLA Medical Center - Division of Nephrology, USA , lopez, e.a. University of California, Los Angeles - Olive-View UCLA Medical Center - Department of Medicine, USA , corry, d.b. University of California, Los Angeles - David Geffen School of Medicine, Ronald Regan UCLA Medical Center, Olive-View UCLA Medical Center - Division of Nephrology, Department of Medicine, USA , wilson, j. University of California, Los Angeles - David Geffen School of Medicine, Ronald Regan UCLA Medical Center, Olive-View UCLA Medical Center - Division of Nephrology, Department of Medicine, USA
From page
344
To page
348
Abstract
Calciphylaxis has seldom been reported in patients with acute renal failure or in pre-dialysis patients. It also has been reported at lower calcium phosphorous products and in patients with adynamic bone disease. We report a pre-hemodialysis (HD) patient with acute renal failure and biopsy-proven calciphylaxis involving multiple cutaneous sites with calcification of the perineal area resulting in dry gangrene of the penis that necessitated a partial penectomy. The patient had elevated serum calcium,phosphorous and parathyroid hormone level of 612 pg/mL. The same patient suffered subsequently from a calcium embolus that occluded his left ophthalmic artery and resulted in left eye blindness. Calciphylaxis is a devastating phenomenon and physicians should have a high clinical suspicion for it in HD patients as well as in patients with late stages of chronic kidney disease.
Journal title
Saudi Journal of Kidney Diseases and Transplantation
Journal title
Saudi Journal of Kidney Diseases and Transplantation
Record number
2521450
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