title: Acral gangrene as a presentation of non-uremic calciphylaxis.
abstract: We are describing a case of 55-year-old obese female with significant history of uncontrolled rheumatoid arthritis, who recently had decreased her immune-suppression medications. She presented with extensive acral gangrene involving multiple fingers and toes. Clinical picture and laboratory findings were suggestive of vasculitis; however, skin biopsy established diagnosis of calciphylaxis, in settings of normal kidney function. Patient was treated with sodium thiosulfate with gradual improvement in her skin lesions.
authors: Department of Internal Medicine, Cleveland Clinic, Cleveland, Ohio, United States.
authors: Muhammad
authors: M
authors: Hammadah
authors: Shruti
authors: S
authors: Chaturvedi
authors: Jennifer
authors: J
authors: Jue
authors: Andrew Blake
authors: AB
authors: Buletko
authors: Mohammed
authors: M
authors: Qintar
authors: Mohammed Eid
authors: ME
authors: Madmani
authors: Prashant
authors: P
authors: Sharma
keywords: Acral gangrene; calciphylaxis; non uremic; sodium thiosulfate; vasculitis