title: Calciphylaxis treated with neurolytic lumbar sympathetic block: case report and review of the literature.
abstract: OBJECTIVE
  Calciphylaxis is a painful complication of end-stage renal disease and secondary hyperparathyroidism. Calcification most commonly affects skin and soft tissue of the lower extremities resulting in excruciatingly painful skin ulcers. Treatment involves correction of hypercalcemia and hyperphosphatemia, parathyroidectomy, and supportive measures.
  
  
  METHODS
  The literature and the merits of neurolytic lumbar sympathetic blockade (LSB) for the treatment of pain associated with calciphylaxis are reviewed.
  
  
  CONCLUSIONS
  The neurolytic LSB provided pain relief and is a treatment modality to be considered in managing the pain associated with calciphylaxis.
authors.affiliation: Multidisciplinary Pain Center, the Department of Anesthesiology, University of Michigan Health Systems, Ann Arbor 48109, USA.
authors.forename: J A
authors.initials: JA
authors.lastname: Green
authors.forename: C R
authors.initials: CR
authors.lastname: Green
authors.forename: S D
authors.initials: SD
authors.lastname: Minott
mesh_terms: D001340:Autonomic Nerve Block; D002115:Calciphylaxis / Q000209:etiology / Q000628:therapy*; D006801:Humans; D006962:Hyperparathyroidism, Secondary / Q000150:complications; D007676:Kidney Failure, Chronic / Q000150:complications; D008161:Lumbosacral Region; D008297:Male; D008875:Middle Aged; D010530:Peritoneal Dialysis / Q000009:adverse effects