[Penile calciphylaxis].
A 64-year-old diabetic man on peritoneal dialysis developed painful necrotic ulcers of the glans penis over a period of six months. On suspicion of atherosclerotic necrosis, a partial resection of his penis was performed. Histological examination showed calciphylaxis. This vasculopathy with calcification and intimal fibrosis in small blood vessels is mostly seen in patients with end-stage renal disease. The condition is characterized by painful livedoid and infiltrated plaques and ulcers. Involvement of the penis is rare, but probably underdiagnosed.
Kjaerskov
Mette Wanscher
MW
Odense Universitetshospital, Plastikkirurgisk Afdeling Z. Kobberboel@hotmail.com
Comstedt
Lisbeth Rosholm
LR
Bygum
Anette
A
Yderstraede
Knud Bonnet
KB
D002115:Calciphylaxis / Q000209:etiology / Q000473:pathology*; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D010413:Penis / Q000473:pathology*; D010530:Peritoneal Dialysis / Q000009:adverse effects