Presentation
We present a case of calciphylaxis leading to lower gastrointestinal (GI) bleeding and rectal ulceration of the GI mucosa. [ncbi.nlm.nih.gov]
Clinical presentation and progression also were consistent with calciphylaxis. [o-wm.com]
Entire Body System
- Severe Pain
At her monthly clinic visit, the patient complained of burning sensation in the fingers of both hands with limited fine motor movement due to edema and severe pain. [ncbi.nlm.nih.gov]
The condition causes skin lesions and severe pain and usually has a high mortality rate. Typically, patients diagnosed with calciphylaxis live about six months. Dr. [kidney.org]
On presentation, he was confused, having severe pain in his groin area with temperature of 37.6°C, blood pressure of 93/51mmHg and pulse rate of 84bpm. [jpma.org.pk]
Clinically, calciphylaxis presents with severe painful skin lesions that are frequently complicated by blistering and ulcerations. [ajkdblog.org]
- Hodgkin Lymphoma
We discuss a case of NUC secondary to spontaneous tumour lysis syndrome in a patient who had chemotherapy for non-Hodgkin lymphoma and present a review of the literature to better characterize malignancy-associated NUC. [ncbi.nlm.nih.gov]
This case will raise awareness in physicians caring for patients with Hodgkin's lymphoma with this rare association. [jco.ascopubs.org]
- El Salvador
Ecuador El Salvador Guatemala Honduras Mexico Nicaragua Panama Peru Uruguay Asia-Europe Australia Bahrain China Denmark Estonia Eurasian Patent Office European Patent Office (EPO) France Germany Germany(DDR data) Israel Japan Bulgaria Portugal Russian [patentscope.wipo.int]
Musculoskeletal
- Arthritis
There are few cases described in patients with rheumatoid arthritis that do not suffer from renal failure or hyperparathyroidism. Another case is presented of calciphylaxis in a woman with inactive rheumatoid arthritis. [ncbi.nlm.nih.gov]
Convert to ICD-10-CM : 275.49 converts approximately to: 2015/16 ICD-10-CM E20.1 Pseudohypoparathyroidism Or: 2015/16 ICD-10-CM E83.59 Other disorders of calcium metabolism Approximate Synonyms Apatite-associated destructive arthritis Apatite-related [icd9data.com]
[…] infections and even cause sepsis, when blood is affected The contributory factors for Calciphylaxis may include renal disease, uncontrolled diabetes, deficiency disorders of protein C and protein S, autoimmune conditions such as lupus and rheumatoid arthritis [dovemed.com]
Rarely, calciphylaxis has been reported in patients with breast carcinoma, alcoholic liver cirrhosis, cholangiocarcinoma, [3] crohn's disease, [4] rheumatoid arthritis, [5] and systemic lupus erythmatosis [6] with or without CKD. [sjkdt.org]
Development of calciphylaxis after long-term steroid and methotrexate use in a patient with rheumatoid arthritis. Intern Med. 2005. n. 44(11):1178–1181. Disponível em:. Acesso em: 06. [editora.unoesc.edu.br]
Skin
- Ulcer
Vassa et al recommended treatment of skin ulcers by hyperbaric oxygen therapy. 47 They found that transcutaneous oxygen tension in tissues surrounding ulcer craters in calciphylaxis was low and speculated that hypoxic condition existed within the ulcers [pmj.bmj.com]
[…] healing of her ulcers. [sjkdt.org]
A 48-year-old woman performing peritoneal dialysis for end-stage renal disease presented with a painful leg ulcer. [ncbi.nlm.nih.gov]
His admitting diagnosis was ESRD, change in mental status, and a large painful lower left leg ulcer. [o-wm.com]
- Skin Ulcer
The clinical syndrome of calciphylaxis is characterized by arteriolar medial calcification, thrombotic cutaneous ischemia, necrotic skin ulceration, and a high mortality rate. [ncbi.nlm.nih.gov]
- Erythema
Cutaneous calcific uremic arteriolopathy is more frequent and clinically presents as a first phase of cutaneous hardening and erythema, followed by a second phase of ulcerations and scars; these two phases are probably associated with the initial development [ncbi.nlm.nih.gov]
There was no erythema or fluctuance. [jpma.org.pk]
High-resolution CT scans Calciphylaxis Differential Diagnosis While detecting this disease, a diagnostician should rule out the possibility of the following skin conditions: Bullous Pemphigoid Cellulitis Vibrio Vulnificus Infection Wegener Granulomatosis Erythema [hxbenefit.com]
[…] annulare centrifugum 遠心性環状紅斑 51.Erythema chronicum migrans 慢性遊走性紅斑 52.Erythema elevatum diutinum 持久性隆起性紅斑 53.Erythema induratum(Bazin),Nodular vasculitis 硬結性紅斑[Bazin(バザン)],結節性血管炎 54.Erythema(exudativum)multiforme 多形(滲出性)紅斑 55.Erythema nodosum 結節性紅斑 56 [nankodo.co.jp]
- Eczema
[…] acanthoma),Pilar tumor;Malignant proliferating trichilemmal cyst/tumor,Proliferating tricholemmal cystic squamous cell carcinoma 増殖性外毛根鞘(性)嚢腫(増殖性外毛根鞘嚢腫性棘細胞腫);悪性増殖性外毛根鞘(性)嚢腫,増殖性外毛根鞘嚢腫性有棘細胞癌 144.P rurigo chronica multiforme 多形慢性痒疹 145.P rurigo nodularis,Eczema [mall-md.seikyou.ne.jp]
[…] acanthoma),Pilar tumor;Malignant proliferating trichilemmal cyst/tumor,Proliferating tricholemmal cystic squamous cell carcinoma 増殖性外毛根鞘(性)嚢腫(増殖性外毛根鞘嚢腫性棘細胞腫);悪性増殖性外毛根鞘(性)嚢腫,増殖性外毛根鞘嚢腫性有棘細胞癌 144.Prurigo chronica multiforme 多形慢性痒疹 145.Prurigo nodularis,Eczema [nankodo.co.jp]
Urogenital
- Kidney Failure
It is predominantly seen in patients with chronic kidney failure treated with dialysis (uremic calciphylaxis) but is also described in patients with earlier stages of chronic kidney disease and with normal kidney function. [ncbi.nlm.nih.gov]
Urgent Kidney Transplantation as Successful Treatment of Calciphylaxis in Three Patients with End-Stage Kidney Failure. [abstract]. [atcmeetingabstracts.com]
People who have calciphylaxis usually have kidney failure and are on dialysis or need a kidney transplant. The condition can also occur in people without kidney disease. [delawareonline.com]
Diabetes and hypertension are major causes of kidney failure, although Huber notes that many kidney failure patients are not obese. [news-medical.net]
Workup
Sirich, MD, FASN Transplant Workup for Dialysis Patients: New Strategies Darin Treleaven, MD, MS Patient Selection for Home Dialysis or Home Dialysis in Select Patients? Harold E. [radiologyebook.vn]
Treatment
Pathogenesis of this life threatening condition is not clearly understood and treatment is also controversial. [jpma.org.pk]
Most of the current treatments for non-uraemic calciphylaxis are derived from uraemic calciphylaxis treatment protocols. [ncbi.nlm.nih.gov]
[…] there are several other treatment modalities available such as calcimimetics and sodium thiosulfate. [sjkdt.org]
Prognosis
Patients with skin involvement over the trunk or proximal extremities have a poorer prognosis. [jasn.asnjournals.org]
Calciphylaxis is a rare syndrome of vascular calcification with thrombosis that occurs most often in patients with end-stage renal disease, and it frequently portends a guarded prognosis. [ncbi.nlm.nih.gov]
Etiology
It is most often seen in patients with renal failure among many other occasionally reported etiologies. [ncbi.nlm.nih.gov]
Although most calciphylaxis patients have abnormalities of the calcium:phosphate axis or elevated levels of parathyroid hormone, these abnormalities do not appear to be fundamental to the pathophysiology of the disorder, and the etiology of calciphylaxis [jasn.asnjournals.org]
Epidemiology
Department, Guy's and St Thomas' Hospitals, London, UK. 5 Division of Nephrology, Ambroise Paré University Hospital, APHP, University of Paris Ouest-Versailles-St-Quentin-en-Yvelines (UVSQ), Boulogne-Billancourt, Paris INSERM U1018, Research Centre in Epidemiology [ncbi.nlm.nih.gov]
As high as 85% mortality from secondary infections leading to sepsis Synonym(s): calcific uremic arteriolopathy; uremic gangrene syndrome; calcifying panniculitis Epidemiology Incidence 3.5 new cases/1,000 patient-years among patient with ESRD on chronic [unboundmedicine.com]
These theories remain speculative. [8, 11] Epidemiology Frequency Calciphylaxis is an uncommon condition that affects 1-4% of the population with ESRD. [18, 19] A concern exists that the incidence has increased during the last decade because of a number [emedicine.com]
Pathophysiology
The lack of understanding of the pathophysiology of the disease results in treatments that are equally unsatisfactory. [jasn.asnjournals.org]
The etiology and pathophysiology of calciphylaxis aren't well understood. There are many risk factors, and the reported median survival time is 2.6 months after diagnosis. [ncbi.nlm.nih.gov]
Prevention
As the pathogenesis of calciphylaxis is better understood, targeted therapies aimed at disease prevention and reversal will follow. [ncbi.nlm.nih.gov]
Calciphylaxis Prevention This is an incurable and fatal condition, which means preventing the occurrence of the disorder is very important for individuals at risk of developing these lesions. [hxbenefit.com]