[Necrotic angiodermatitis revealing a secondary hyperparathyroidism due to chronic renal insufficiency: healing after subtotal parathyroidectomy].
Severe skin necrosis of poor prognosis have been rarely reported among chronic renal failure patients. Their clinical outbreak must rapidly lead to search for a secondary hyperparathyroidism. Early parathyroidectomy seems is the only treatment able to stop the progression of the skin lesions. From an original clinical observation we discuss the different mechanisms involved.
Leray
H
H
Service de néphrologie, Hôpital Lapeyronie, CHR, Montpellier.
Dereure
O
O
Canaud
B
B
Teot
L
L
Guilhou
J J
JJ
Mion
C
C
D000328:Adult; D005260:Female; D006801:Humans; D006962:Hyperparathyroidism, Secondary / Q000209:etiology* / Q000601:surgery*; D007676:Kidney Failure, Chronic / Q000150:complications*; D009336:Necrosis; D016105:Parathyroidectomy; D012867:Skin / Q000473:pathology; D012883:Skin Ulcer / Q000209:etiology* / Q000473:pathology / Q000628:therapy
Angiodermite nécrotique révélatrice d'une hyperparathyroïdie floride secondaire à une insuffisance rénale chronique: guérison après parathyroïdectomie subtotale.