Benign nodular calcification and calciphylaxis in a haemodialysed patient

被引:13
作者
Strumia, R
Lombardi, AR
Bedani, PL
Perini, L
机构
[1] Univ Ferrara, Dermatol Clin, I-44100 Ferrara, Italy
[2] Arcispedale S Anna, Div Nefrol, Ferrara, Italy
关键词
nodular calcification; calciphylaxis; hemodialysis;
D O I
10.1016/S0926-9959(98)00025-7
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Several types of soft tissue calcification can be detected from radiographic evaluation of patients with end-stage renal failure. The factors that predispose to such calcification include an increase in CaxP product in serum, the degree of secondary hyperparathyroidism, the level of blood magnesium, the degree of alkalosis, and the presence of local tissue injury. Three major varieties include calcification of medium-sized arteries, periarticular or tumoral calcification and visceral calcification. Calciphylaxis is a phenomenon consisting of acute ischemic necrosis in presence of calcification of dermohypodermic arterioles. It occurs mostly in chronic renal failure patients with secondary or tertiary hyperparathyroidism with a persistently elevated calcium-phosphorus product. There are few options in treating calciphylaxis and the outcome is generally poor. The authors report the case of a haemodialised patient with benign nodular calcification and calciphylaxis. The coexistence of both entities in the same patient has never been described. (C) 1998 Elsevier Science B.V. All rights reserved
引用
收藏
页码:69 / 71
页数:3
相关论文
共 5 条
  • [1] CRIBIER B, 1992, ANN DERMATOL VENER, V119, P151
  • [2] CALCIPHYLAXIS IN 3 PATIENTS WITH END-STAGE RENAL-DISEASE
    IVKER, RA
    WOOSLEY, J
    BRIGGAMAN, RA
    [J]. ARCHIVES OF DERMATOLOGY, 1995, 131 (01) : 63 - 68
  • [3] CHRONIC-RENAL-FAILURE AND SKIN CALCIFICATIONS
    POESEN, N
    HEIDBUCHEL, M
    VANDENOORD, JJ
    MORREN, M
    [J]. DERMATOLOGY, 1995, 190 (04) : 321 - 323
  • [4] Selye H., 1962, Calciphylaxis
  • [5] CALCIFYING DISORDERS OF THE SKIN
    WALSH, JS
    FAIRLEY, JA
    [J]. JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 1995, 33 (05) : 693 - 706