Calciphylaxis mimicking ecthyma gangrenosum

Calciphylaxis is a rare cutaneous disease that may cause fatal complications in patients on long-term dialysis. Early diagnosis and proper management decrease complications. However, it can mimic cutaneous infections, especially ecthyma gangrenosum and cutaneous vasculitis. The authors report on a p...

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Main Authors: Ranchana Tangkham, Siripan Sangmala, Kumpol Aiempanakit, Kanokphorn Chiratikarnwong, Sauvarat Auepemkiate
Format: Article
Language:English
Published: Elsevier 2019-01-01
Series:IDCases
Online Access:http://www.sciencedirect.com/science/article/pii/S2214250919301957
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spelling doaj-adaff611a3294c5cbaa61071835ae3212021-07-02T16:44:23ZengElsevierIDCases2214-25092019-01-0118Calciphylaxis mimicking ecthyma gangrenosumRanchana Tangkham0Siripan Sangmala1Kumpol Aiempanakit2Kanokphorn Chiratikarnwong3Sauvarat Auepemkiate4Department of Family Medicine and Preventive Medicine, Faculty of Medicine, Prince of Songkla University, Hat Yai, 90110 Songkhla, ThailandDivision of Dermatology, Department of Internal Medicine, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, ThailandDivision of Dermatology, Department of Internal Medicine, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand; Corresponding author.Division of Dermatology, Department of Internal Medicine, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, ThailandDepartment of Pathology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, ThailandCalciphylaxis is a rare cutaneous disease that may cause fatal complications in patients on long-term dialysis. Early diagnosis and proper management decrease complications. However, it can mimic cutaneous infections, especially ecthyma gangrenosum and cutaneous vasculitis. The authors report on a patient with chronic kidney disease (CKD) on dialysis for 10 years who developed painful skin necrosis on his right thigh. The tissue culture was positive for Enterobacter cloacae, Citrobacter freundii, and Pseudomonas aeruginosa, but the histopathology was compatible with calciphylaxis. This report aims to further the knowledge of physicians in order to help them recognize calciphylaxis in CKD patients with painful necrotic ulcers. Keywords: Calciphylaxis, Chronic kidney disease, Ecthyma gangrenosum, End-Stage renal diseasehttp://www.sciencedirect.com/science/article/pii/S2214250919301957
collection DOAJ
language English
format Article
sources DOAJ
author Ranchana Tangkham
Siripan Sangmala
Kumpol Aiempanakit
Kanokphorn Chiratikarnwong
Sauvarat Auepemkiate
spellingShingle Ranchana Tangkham
Siripan Sangmala
Kumpol Aiempanakit
Kanokphorn Chiratikarnwong
Sauvarat Auepemkiate
Calciphylaxis mimicking ecthyma gangrenosum
IDCases
author_facet Ranchana Tangkham
Siripan Sangmala
Kumpol Aiempanakit
Kanokphorn Chiratikarnwong
Sauvarat Auepemkiate
author_sort Ranchana Tangkham
title Calciphylaxis mimicking ecthyma gangrenosum
title_short Calciphylaxis mimicking ecthyma gangrenosum
title_full Calciphylaxis mimicking ecthyma gangrenosum
title_fullStr Calciphylaxis mimicking ecthyma gangrenosum
title_full_unstemmed Calciphylaxis mimicking ecthyma gangrenosum
title_sort calciphylaxis mimicking ecthyma gangrenosum
publisher Elsevier
series IDCases
issn 2214-2509
publishDate 2019-01-01
description Calciphylaxis is a rare cutaneous disease that may cause fatal complications in patients on long-term dialysis. Early diagnosis and proper management decrease complications. However, it can mimic cutaneous infections, especially ecthyma gangrenosum and cutaneous vasculitis. The authors report on a patient with chronic kidney disease (CKD) on dialysis for 10 years who developed painful skin necrosis on his right thigh. The tissue culture was positive for Enterobacter cloacae, Citrobacter freundii, and Pseudomonas aeruginosa, but the histopathology was compatible with calciphylaxis. This report aims to further the knowledge of physicians in order to help them recognize calciphylaxis in CKD patients with painful necrotic ulcers. Keywords: Calciphylaxis, Chronic kidney disease, Ecthyma gangrenosum, End-Stage renal disease
url http://www.sciencedirect.com/science/article/pii/S2214250919301957
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AT siripansangmala calciphylaxismimickingecthymagangrenosum
AT kumpolaiempanakit calciphylaxismimickingecthymagangrenosum
AT kanokphornchiratikarnwong calciphylaxismimickingecthymagangrenosum
AT sauvaratauepemkiate calciphylaxismimickingecthymagangrenosum
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