Successful Treatment of Calciphylaxis in a Young Female With End-Stage Renal Disease on Peritoneal Dialysis With Parathyroidectomy, Intensification of Dialysis, and Sodium Thiosulphate—A Case Report and Literature Review
Calcific uremic arteriolopathy, commonly referred to as “calciphylaxis,” is a rare life-threatening condition observed in patients with chronic kidney disease and end-stage renal disease on dialysis. This results in necrotic, ischemic, tender dermal lesions anywhere in the body, but mainly on the ab...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2021-11-01
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| Series: | Journal of Investigative Medicine High Impact Case Reports |
| Online Access: | https://doi.org/10.1177/23247096211060580 |
| _version_ | 1818573849867845632 |
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| author | Sasmit Roy MD Sohil Narasimha Reddy MD Amarinder Singh Garcha MD Praveena Vantipalli MD Sumit S Patel MD Ebad Ur Rahman MD Sreedhar Adapa MD |
| author_facet | Sasmit Roy MD Sohil Narasimha Reddy MD Amarinder Singh Garcha MD Praveena Vantipalli MD Sumit S Patel MD Ebad Ur Rahman MD Sreedhar Adapa MD |
| author_sort | Sasmit Roy MD |
| collection | DOAJ |
| description | Calcific uremic arteriolopathy, commonly referred to as “calciphylaxis,” is a rare life-threatening condition observed in patients with chronic kidney disease and end-stage renal disease on dialysis. This results in necrotic, ischemic, tender dermal lesions anywhere in the body, but mainly on the abdominal wall and lower extremities, where subcutaneous tissue is abundant. Histologically, it is defined by calcification in dermal capillaries, arterioles, and subcutaneous adipose tissues. It can occur in all advanced stages of chronic kidney disease as well as end-stage renal disease patients on hemodialysis or peritoneal dialysis. Our case highlights a successful case of calciphylaxis in a young female patient who underwent parathyroidectomy and intensification of peritoneal dialysis regimen along with the infusion of sodium thiosulphate injection resulting in complete resolution of the lesion in 3 months. With limited evidence of treatment options and increased frequency of this condition in a dialysis patient, our case highlights the key aspects of calciphylaxis management in a young end-stage renal disease patient who didn’t need a change of dialysis modality. We also review the risk factors and current practiced management options of this condition in our article. |
| first_indexed | 2024-12-15T00:18:24Z |
| format | Article |
| id | doaj.art-710b30f9aa664a539627c0e541364121 |
| institution | Directory Open Access Journal |
| issn | 2324-7096 |
| language | English |
| last_indexed | 2024-12-15T00:18:24Z |
| publishDate | 2021-11-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Investigative Medicine High Impact Case Reports |
| spelling | doaj.art-710b30f9aa664a539627c0e5413641212022-12-21T22:42:23ZengSAGE PublishingJournal of Investigative Medicine High Impact Case Reports2324-70962021-11-01910.1177/23247096211060580Successful Treatment of Calciphylaxis in a Young Female With End-Stage Renal Disease on Peritoneal Dialysis With Parathyroidectomy, Intensification of Dialysis, and Sodium Thiosulphate—A Case Report and Literature ReviewSasmit Roy MD0Sohil Narasimha Reddy MD1Amarinder Singh Garcha MD2Praveena Vantipalli MD3Sumit S Patel MD4Ebad Ur Rahman MD5Sreedhar Adapa MD6University of Virginia, Charlottesville, USAThe Ohio State University, Columbus, USAKaweah Delta Medical Center, Visalia, CA, USAUniversity of Nebraska Omaha, USAAdventis Health, Hanford, CA, USASt. Mary’s Medical Center, Huntington, WV, USAKaweah Delta Medical Center, Visalia, CA, USACalcific uremic arteriolopathy, commonly referred to as “calciphylaxis,” is a rare life-threatening condition observed in patients with chronic kidney disease and end-stage renal disease on dialysis. This results in necrotic, ischemic, tender dermal lesions anywhere in the body, but mainly on the abdominal wall and lower extremities, where subcutaneous tissue is abundant. Histologically, it is defined by calcification in dermal capillaries, arterioles, and subcutaneous adipose tissues. It can occur in all advanced stages of chronic kidney disease as well as end-stage renal disease patients on hemodialysis or peritoneal dialysis. Our case highlights a successful case of calciphylaxis in a young female patient who underwent parathyroidectomy and intensification of peritoneal dialysis regimen along with the infusion of sodium thiosulphate injection resulting in complete resolution of the lesion in 3 months. With limited evidence of treatment options and increased frequency of this condition in a dialysis patient, our case highlights the key aspects of calciphylaxis management in a young end-stage renal disease patient who didn’t need a change of dialysis modality. We also review the risk factors and current practiced management options of this condition in our article.https://doi.org/10.1177/23247096211060580 |
| spellingShingle | Sasmit Roy MD Sohil Narasimha Reddy MD Amarinder Singh Garcha MD Praveena Vantipalli MD Sumit S Patel MD Ebad Ur Rahman MD Sreedhar Adapa MD Successful Treatment of Calciphylaxis in a Young Female With End-Stage Renal Disease on Peritoneal Dialysis With Parathyroidectomy, Intensification of Dialysis, and Sodium Thiosulphate—A Case Report and Literature Review Journal of Investigative Medicine High Impact Case Reports |
| title | Successful Treatment of Calciphylaxis in a Young Female With End-Stage Renal Disease on Peritoneal Dialysis With Parathyroidectomy, Intensification of Dialysis, and Sodium Thiosulphate—A Case Report and Literature Review |
| title_full | Successful Treatment of Calciphylaxis in a Young Female With End-Stage Renal Disease on Peritoneal Dialysis With Parathyroidectomy, Intensification of Dialysis, and Sodium Thiosulphate—A Case Report and Literature Review |
| title_fullStr | Successful Treatment of Calciphylaxis in a Young Female With End-Stage Renal Disease on Peritoneal Dialysis With Parathyroidectomy, Intensification of Dialysis, and Sodium Thiosulphate—A Case Report and Literature Review |
| title_full_unstemmed | Successful Treatment of Calciphylaxis in a Young Female With End-Stage Renal Disease on Peritoneal Dialysis With Parathyroidectomy, Intensification of Dialysis, and Sodium Thiosulphate—A Case Report and Literature Review |
| title_short | Successful Treatment of Calciphylaxis in a Young Female With End-Stage Renal Disease on Peritoneal Dialysis With Parathyroidectomy, Intensification of Dialysis, and Sodium Thiosulphate—A Case Report and Literature Review |
| title_sort | successful treatment of calciphylaxis in a young female with end stage renal disease on peritoneal dialysis with parathyroidectomy intensification of dialysis and sodium thiosulphate a case report and literature review |
| url | https://doi.org/10.1177/23247096211060580 |
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