The role of mammography in calcific uremic arteriolopathy

A 76-year-old woman with type 2 diabetes, incident on hemodialysis, presented with extremely painful necrotic ulcers on both legs and gluteal muscles, persistently worsening for 2 months despite care. Her admission blood test results showed normocalcemia (8.0 mg/dl), normophosphatemia (4.2 mg/dl), and a low parathyroid hormone level (PTH, 28 pg/ml). Five months earlier, she had been treated with paricalcitol and calcium carbonate due to secondary hyperparathyroidism (PTH, 1100 pg/ml) and hyperphosphatemia (6.9 mg/dl); both were discontinued 3  months later after dialysis was started.
Source: Kidney International - Category: Urology & Nephrology Authors: Tags: Nephrology Image Source Type: research