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IMAGES IN CLINICAL PRACTICE
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Year : 2015  |  Volume : 81  |  Issue : 1  |  Page : 50

Aggressive calciphylaxis in end-stage renal disease after a failed kidney allograft

Charat Thongprayoon, Wisit Cheungpasitporn, Jackrapong Bruminhent 
 Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA

Correspondence Address:
Dr. Charat Thongprayoon
Mayo Clinic, Rochester, MN, 55905
USA




How to cite this article:
Thongprayoon C, Cheungpasitporn W, Bruminhent J. Aggressive calciphylaxis in end-stage renal disease after a failed kidney allograft.Indian J Dermatol Venereol Leprol 2015;81:50-50


How to cite this URL:
Thongprayoon C, Cheungpasitporn W, Bruminhent J. Aggressive calciphylaxis in end-stage renal disease after a failed kidney allograft. Indian J Dermatol Venereol Leprol [serial online] 2015 [cited 2020 Sep 25 ];81:50-50
Available from: http://www.ijdvl.com/text.asp?2015/81/1/50/148569


Full Text

A 71-year-old woman with end-stage renal disease (ESRD) after a failed kidney transplant presented with painful wounds on her right thigh over the last 4 months. Physical examination revealed purple, firm, subcutaneous, indurated plaques with superficial skin breakdown with black eschar on her right medial thigh [[Figure 1]a]. X-ray of her right thigh demonstrated extensive vascular calcification and soft tissue calcification [[Figure 1]b]. A skin biopsy confirmed the diagnosis of calciphylaxis. Her treatment included sodium thiosulfate, tissue plasminogen activator administration, aggressive dialysis, and wound debridement with hyperbaric oxygen therapy. Unfortunately, she passed away after palliative care.{Figure 1}

 

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