[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.
Service de néphrologie, Hôpital Lapeyronie, CHR, Montpellier.
H
H
Leray
O
O
Dereure
B
B
Canaud
L
L
Teot
J J
JJ
Guilhou
C
C
Mion
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.