{"title":"Calciphylaxis Or Calcific Uremic Arteriolopathy: Diagnosis Not To Be Overlooked In Hemodialysis Patients","authors":"D. Montasser","doi":"10.24966/nrt-7313/100032","DOIUrl":null,"url":null,"abstract":"TP 39%. An inflam matory syndrome with a CRP at 230 mg/l, a fibrinogen at 7g/l and a ferritinemia 400μg/l. phosphoremia Ca×P 6808mg²/dl²; parathormone 1-84 591pg/ml. The rereading of the biopsy reveals an infiltration of the of the and medium-sized by calcium deposits by and Von Kossa indicating the stopping of immu nosuppressants and AVK with regular skin care and daily dialysis by calcium concentration 1.25mmol/l. Abstract Calciphylaxis or calcific uremic arteriolopathy is a rare and se - vere condition due to its painful ischemic necrosis cutaneous and sometimes systemic lesions, whose functional and vital prognosis is reserved due to infectious complications. Several factors are impli -cated, but the physiopathology is not yet fully understood. Its treat - ment is poorly codified based mainly on a treatment of pain, tissue oxygenation, the release of calcium salts of vessels and the elimina - tion of factors and promoting drugs. We illustrate through a clinical case the essential points to recognize on this pathology.","PeriodicalId":92035,"journal":{"name":"HSOA journal of nephrology & renal therapy","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2020-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"HSOA journal of nephrology & renal therapy","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.24966/nrt-7313/100032","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
TP 39%. An inflam matory syndrome with a CRP at 230 mg/l, a fibrinogen at 7g/l and a ferritinemia 400μg/l. phosphoremia Ca×P 6808mg²/dl²; parathormone 1-84 591pg/ml. The rereading of the biopsy reveals an infiltration of the of the and medium-sized by calcium deposits by and Von Kossa indicating the stopping of immu nosuppressants and AVK with regular skin care and daily dialysis by calcium concentration 1.25mmol/l. Abstract Calciphylaxis or calcific uremic arteriolopathy is a rare and se - vere condition due to its painful ischemic necrosis cutaneous and sometimes systemic lesions, whose functional and vital prognosis is reserved due to infectious complications. Several factors are impli -cated, but the physiopathology is not yet fully understood. Its treat - ment is poorly codified based mainly on a treatment of pain, tissue oxygenation, the release of calcium salts of vessels and the elimina - tion of factors and promoting drugs. We illustrate through a clinical case the essential points to recognize on this pathology.