title: Breast pain in a patient on dialysis: a rare manifestation of calcific uraemic arteriolopathy.
abstract: A 63-year-old woman presented with progredient bilateral breast pain. Her medical history included rheumatoid arthritis, AA amyloidosis and end-stage renal disease treated by peritoneal dialysis. Inflamed skin alterations of the breast and laboratory values suggested mastitis non-puerpuralis but antibiotics did not resolve the symptoms. Sonography and mammography showed severe vessel calcification suggesting calcific uraemic arteriolopathy (calciphylaxis) as a rare complication of chronic kidney disease. Treatment included intensified haemodialysis, thiosulfate application, analgaesia and wound management leading to significant improvement, however, without complete remission.
authors.affiliation: Department of Nephrology, University Clinic Muenster, Muenster, Germany.
authors.forename: Konrad
authors.initials: K
authors.lastname: Buscher
authors.affiliation: Department of Nephrology, University Clinic Muenster, Muenster, Germany.
authors.forename: Gert
authors.initials: G
authors.lastname: Gabriëls
authors.affiliation: Department of Pathology, University Clinic Muenster, Muenster, Germany.
authors.forename: Peter
authors.initials: P
authors.lastname: Barth
authors.affiliation: Department of Nephrology, University Clinic Muenster, Muenster, Germany.
authors.forename: Hermann
authors.initials: H
authors.lastname: Pavenstädt
mesh_terms: D002115:Calciphylaxis / Q000209:etiology* / Q000628:therapy; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications* / Q000628:therapy*; D059373:Mastodynia / Q000209:etiology* / Q000628:therapy; D008875:Middle Aged; D010530:Peritoneal Dialysis / Q000009:adverse effects*