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Number of results

Journal

2009 | 4 | 3 | 391-394

Article title

Unusual case of calciphylaxis associated with digital necrosis and penile necrosis

Content

Title variants

Languages of publication

EN

Abstracts

EN
Calciphylaxis is a relatively rare disorder associated with calcification of small- and medium-sized blood vessels, progressive ischemic skin necrosis, and ulcerations. This situation is a potentially life-threatening condition seen in patients with endstage renal disease (ESRD). A 64-year-old man with ESRD on dialysis for 6 years was admitted to our clinic with severe pain and partial necrosis of some fingers on his right hand. In addition, the patient had suffered from diabetes for 22 years and had been on insulin therapy for 17 years. His necrotic fingers were amputated. After two months, necrosis on his glans penis developed despite medical management. Penile amputation was performed. In this case report, the patient serves to illustrate the spectrum of complications with which calciphylaxis can be associated.

Publisher

Journal

Year

Volume

4

Issue

3

Pages

391-394

Physical description

Dates

published
1 - 9 - 2009
online
3 - 7 - 2009

Contributors

author
  • Department of Plastic and Reconstructive Surgery and Burn Unit, Gülhane Military Medical Academy and Medical Faculty, Haydarpaşa Training Hospital, 34 668, Istanbul, Turkey
  • Department of Plastic and Reconstructive Surgery and Burn Unit, Gülhane Military Medical Academy and Medical Faculty, Haydarpaşa Training Hospital, 34 668, Istanbul, Turkey
  • Department of Plastic and Reconstructive Surgery and Burn Unit, Gülhane Military Medical Academy and Medical Faculty, Haydarpaşa Training Hospital, 34 668, Istanbul, Turkey
  • Department of Pathology, Gülhane Military Medical Academy and Medical Faculty, Haydarpaşa Training Hospital, 34 668, Istanbul, Turkey

References

  • [1] Androgue J, Frazier MR, Zeluff B, Suki WN. Systemic calciphylaxis revisited. AmJ Nephrol 1: 177–183, 1981 http://dx.doi.org/10.1159/000166536[Crossref]
  • [2] Fujioka H, Hashimoto K, Endou N, Asami K. A case of soft tissue necrosis by calcific uremic arteriopathy (calciphylaxis). Journal of Japan Society of Plastic and Reconstructive Surgery 22:837–842, 2002 (in Japanese)
  • [3] Wilmer WA and Magro CM: Calciphylaxis: emerging concepts in prevention, diagnosis, and treatment. Semin Dial 2002,15:172–186 http://dx.doi.org/10.1046/j.1525-139X.2002.00052.x[Crossref]
  • [4] Budisavljevic MN, Cheek D, Ploth DW. Calciphylaxis in chronic renal failure. J Am Soc Nephrol 7: 978–982, 1996 [PubMed]
  • [5] Fine A and Zacharias J: Calciphylaxis is usually non-ulcerating: risk factors, outcome and therapy. Kidney Int 2002, 61:2210–2217 http://dx.doi.org/10.1046/j.1523-1755.2002.00375.x[Crossref]
  • [6] Stein M, Anderson C, Ricciardi R, Chamberlin JW, Lerner SE, Glicklich D. Penile gangrene associated with chronic renal failure: report of 7 cases and review of the literature. J Urol 152: 2014–2016, 1994
  • [7] Seoane VMA, Terán HM, Presno BM, Vásquez DA. Calcifilaxis de Pene. Rev Mex Urol 64: 89–94, 2004
  • [8] Mathew D. SORENSEN, Layron O. LONG, Hunter WESSELLS, James K. KUAN. Monckeberg’s calciphylaxis with necrosis of the glans penis: A case presentation. Hemodialysis International 2007; 11:300–302 http://dx.doi.org/10.1111/j.1542-4758.2007.00183.x[Crossref]
  • [9] Naoya Igaki, Rintarou Moriguchi, Yusi Hirota, Makoto Sakai, Hiroyuki Akiyama, Fumihiko Tamada, Munetada Oimomiand Takeo Goto. Calciphylaxis in a Patient with End-Stage Renal Disease Secondary to Systemic Lupus Erythematosus Associated. Internal Medicine 40: 1232–1237
  • [10] Griffith TD, Hartle JE, Quarles LD. Calciphylaxis. In UpTo- Date 12. 1, Rose BD (Ed), UpToDate, Wellesley, MA, 2004
  • [11] Tamura M, Hiroshige K, Osajima A, Soejima M, Takasugi M, Kuroiwa A. Adialysis patient with systemic calciphylaxis exhibiting rapidly progressive visceral ischemia and acral gangrene. Intern Med 34: 908–912,1995 http://dx.doi.org/10.2169/internalmedicine.34.908[Crossref]
  • [12] Weiner DM, Lowe FC. Surgical management of ischemic penile gangrene in diabetics with endstage atherosclerosis. J Urol. 1996; 155:926–929 http://dx.doi.org/10.1016/S0022-5347(01)66348-1[Crossref]

Document Type

Publication order reference

Identifiers

YADDA identifier

bwmeta1.element.-psjd-doi-10_2478_s11536-009-0036-3
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