Calcific uremic arteriolopathy presenting with small and large bowel involvement.
Calcific uremic arteriolopathy (CUA) is a rare complication of end-stage renal disease in which thrombosis occurs in calcified arteries, leading to infarction and infection of the affected tissues. This brief report describes a fatal case of CUA which presented with intestinal involvement, significantly before the onset of classical skin lesions. It is essential to raise awareness of this rare but clinically relevant form of presentation of CUA. The diagnostic and treatment issues are discussed in this case.
Tuthill
Mark H
MH
Renal Unit, Hammersmith Hospital, London, UK.
Stratton
Jonathan
J
Warrens
Anthony N
AN
D000328:Adult; D001157:Arterial Occlusive Diseases / Q000150:complications* / Q000175:diagnosis; D002114:Calcinosis / Q000150:complications* / Q000175:diagnosis; D003937:Diagnosis, Differential; D016099:Endoscopy, Gastrointestinal; D006801:Humans; D007238:Infarction / Q000175:diagnosis / Q000209:etiology*; D007420:Intestine, Large / Q000098:blood supply*; D007421:Intestine, Small / Q000098:blood supply*; D008297:Male; D006435:Renal Dialysis; D014057:Tomography, X-Ray Computed; D014511:Uremia / Q000150:complications* / Q000628:therapy