[Calciphylaxis: a multidisciplinary approach].
Calcific uremic arteriolopathy (CUA) is a rare syndrome characterized by medial calcification of the small arteries and ischemia of the subcutaneous tissue that progresses to non-healing ulcers and gangrene. It is common in patients with end-stage renal disease (ESRD), associated with high morbidity and mortality, and there is no standard treatment at the present time. We report a case of CUA developing in a 70-year-old woman on dialysis, with a normal plasma concentration of parathyroid hormone but a body mass index of 40 kg/m(2) and receiving oral anticoagulant therapy. She was successfully treated with a multidisciplinary approach focused on medical and surgical therapy.
Piantanida
Mariassunta
M
U.O. Emodialisi IRCCS, Ospedale Oncologico Regionale, Rionero in Vulture (PZ). mari.piantanida@libero.it
Plastino
G
G
Valente
V
V
Tassinari
J
J
Fabrizi
T
T
Orlandino
G
G
D000368:Aged; D002115:Calciphylaxis / Q000628:therapy*; D005260:Female; D006801:Humans; D010348:Patient Care Team