Multiple sites of calciphylaxis in a patient with chronic renal failure.
We report a pre-hemodialysis (HD) patient with acute renal failure and biopsy-proven calciphylaxis involving multiple cutaneous sites with calcification of the perineal area resulting in dry gangrene of the penis that necessitated a partial penectomy. The patient had elevated serum calcium, phosphorous and parathyroid hormone level of 612 pg/mL. The same patient suffered subsequently from a calcium embolus that occluded his left ophthalmic artery and resulted in left eye blindness. Calciphylaxis is a devastating phenomenon and physicians should have a high clinical suspicion for it in HD patients as well as in patients with late stages of chronic kidney disease.
PMID: 25758887 [PubMed - in process]
Source: Saudi Journal of Kidney Diseases and Transplantation - Category: Urology & Nephrology Authors: Hanna RM, Nabil JR, Lopez EA, Corry DB, Wilson J Tags: Saudi J Kidney Dis Transpl Source Type: research
More News: Blindness | Calcium | Chronic Kidney Disease | Dialysis | Gangrene | Hemodialysis | Hormones | Kidney Transplant | Kidney Transplantation | Middle East Health | Opthalmology | Penile Biopsy | Renal Failure | Transplants | Urology & Nephrology