Successful treatment of severe calciphylaxis in a hemodialysis patient using low-calcium dialysate and medical parathyroidectomy: case report and literature review.
This investigation presents a case report of the successful treatment of severe calciphylaxis using zero- and low-calcium dialysate for hemodialysis, repeated wound debridement and skin grafting and medical parathyroidectomy with local injection of parathyroid glands with alcohol. To the authors' knowledge, this is the first case report of the use of medical parathyroidectomy and hemodialysis with low calcium dialysate to treat calciphylaxis in a dialysis patient. Finally, relevant English language articles on calciphylaxis from Medline are reviewed.
Wang
Hsiann-Yih
HY
Department of Nephrology, Chang Gung Memorial Hospital, Taipei, Taiwan.
Yu
Chen-Chun
CC
Huang
Chiu-Ching
CC
D000328:Adult; D002115:Calciphylaxis / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D002118:Calcium / Q000008:administration & dosage*; D005260:Female; D015312:Hemodialysis Solutions / Q000008:administration & dosage* / Q000737:chemistry; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000628:therapy; D016105:Parathyroidectomy; D006435:Renal Dialysis / Q000379:methods*; D012720:Severity of Illness Index
D015312:Hemodialysis Solutions; D002118:Calcium