title: Calciphylaxis - A case study in a patient with Maori heritage.
abstract: This case history describes a rare complaint - Calciphylaxis, seen in a New Zealand Maori patient undergoing renal dialysis. This condition causes non-healing tissue ulceration, typically with sepsis and is associated with a very high mortality rate. The need for vigilance among health professionals is highlighted, including the risk factors that may faciliate an early diagnosis; together with the value associated with a multi-disciplinary team approach to management.
authors.affiliation: Counties Manukau District Health Board, Middlemore Hospital, Private Bag 93311, Otahuhu, Auckland 1640, New Zealand.
authors.forename: Lawrence
authors.initials: L
authors.lastname: Kingi
authors.affiliation: Counties Manukau District Health Board, Middlemore Hospital, Private Bag 93311, Otahuhu, Auckland 1640, New Zealand.
authors.forename: Roger
authors.initials: R
authors.lastname: Grech
authors.affiliation: Counties Manukau District Health Board, Middlemore Hospital, Private Bag 93311, Otahuhu, Auckland 1640, New Zealand.
authors.forename: Michael
authors.initials: M
authors.lastname: Lam
authors.affiliation: Counties Manukau District Health Board, Middlemore Hospital, Private Bag 93311, Otahuhu, Auckland 1640, New Zealand.
authors.forename: Ajith
authors.initials: A
authors.lastname: Dissanayake
authors.affiliation: School of Podiatry, Health & Rehabilitation Research Institute, Auckland University of Technology, Private Bag 92006, Auckland 1142, New Zealand; School of Health Science, University of Brighton, 49 Darley Rd, Eastbourne BN20 7UR, UK. Electronic address: s.otter@brighton.ac.uk.
authors.forename: Simon
authors.initials: S
authors.lastname: Otter
mesh_terms: D000368:Aged; D002115:Calciphylaxis / Q000175:diagnosis / Q000209:etiology*; D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications* / Q000628:therapy; D009520:New Zealand; D016491:Peripheral Vascular Diseases; D006435:Renal Dialysis / Q000009:adverse effects
keywords: Calcific uremic arteriolopathy; Calciphylaxis; Ulceration