Calciphylaxis, A Case Series: The Importance of Early Detection.

Nikita Sijapati, Suy Sen Hung Fong, Omar Ansari,Subhasis Misra, Edgar A Mercado, My Myers, Vijay Narasimha

HCA Healthcare Journal of Medicine(2023)

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摘要
Introduction:Calciphylaxis is a rare disorder that involves the formation of cutaneous, subcutaneous, and vascular calcifications. Although it is predominantly seen in patients with end-stage renal disease (ESRD), it has also been reported in patients without chronic kidney disease. The presence of multiple risk factors, a poorly understood mechanism, high mortality, and the lack of standardized treatment make calciphylaxis an important subject. Case Presentation:We describe the clinical presentation, disease course, and management of 3 patients with calciphylaxis and also provide a literature review. In all 3 patients, the diagnosis was confirmed histologically, and the management involved the continuation of renal replacement therapy, pain medication, wound debridement, and intravenous (IV) sodium thiosulphate. Conclusion:Calciphylaxis should be suspected in ESRD patients presenting with painful areas of cutaneous induration, and the early recognition of these findings allows for prompt diagnosis and management.
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