Ann Clin Case Rep | Volume 7, Issue 1 | Case Report | Open Access
Li L, Xiaomin H, Chunyan Z, Qianying Z, Xiaobei F, Xiao L* and Hong R
Department of Nephrology, Ruijin Hospital, School of Medicine, Shanghai Jiaotong University, ChinaFulltext PDF
Calciphylaxis or Calcific Uremic Arteriopathy (CUA) is pathologically characterized by systemic calcification of small artery, which can lead to ischemia and subcutaneous necrosis. The incidence rate of calciphylaxis in dialysis patients is 1% to 4%, which is a rare but severe complication. The mortality rate is as high as 80%. Calciphylaxis is often caused by poor CKD-MBD control. The high Parathyroid Hormone (PTH) and the use of high dose vitamin D will directly or indirectly cause the ectopic calcification of vessels, skin and soft tissues, decrease the elasticity of calcified tissues, and result in slow blood flow, occlusion of capillaries, insufficient blood supply, and oxygen supply to tissues, thus causing the calciphylaxis. The exact pathogenesis of the disease is still unclear, and the diagnosis and treatment methods are still limited. This paper reports the successful diagnosis and treatment of a male peritoneal dialysis patient with terminal limb calciphylaxis by low dose Sodium Thiosulfate (STS) combined with Cinacalcet and non-calcium phosphate binding agent.
Li L, Xiaomin H, Chunyan Z, Qianying Z, Xiaobei F, Xiao L, et al. Calciphylaxis in Peritoneal Dialysis Patients: Clinical Experience and Literature Review. Ann Clin Case Rep. 2022; 7: 2368..