Reversible diffuse arterial spasm in a patient with primary oxalosis

In this article, we report a 22-year-old female case with primary oxalosis type 1 who was admitted with ischemic lower extremities. The arteriogram revealed diffuse arterial narrowing involving the abdominal aorta, iliac arteries and lower limb arteries. Continuous nitroprusside infusion resulted in immediate relief of ischemic symptoms. She was put on nifedipine treatment which resulted in improved walking ability and increased vascular calibration on her follow-up. The instant onset of action and rapid improvement of symptoms recommend nitroprusside trial in oxalosis patients with vascular symptoms.