Acral gangrene as a presentation of non-uremic calciphylaxis

Acral gangrene as a presentation of non-uremic calciphylaxis

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...

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Bibliographic Details
Main Authors: Muhammad Hammadah, Shruti Chaturvedi, Jennifer Jue, Andrew Blake Buletko, Mohammed Qintar, Mohammed Eid Madmani, Prashant Sharma
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2013-10-01
Series:Avicenna Journal of Medicine
Subjects:
acral gangrene
calciphylaxis
non uremic
sodium thiosulfate
vasculitis
Online Access:http://www.thieme-connect.de/DOI/DOI?10.4103/2231-0770.120504
Description
Summary: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.
ISSN:2231-0770
2249-4464

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