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Nephrol Dial Transplant (2001) 16: 2256-2257
© 2001 European Renal Association-European Dialysis and Transplant Association


Case Reports

Calciphylaxis with facial involvement

Rashmi V. Mathur1,, John R. Shortland2 and A. Meguid El Nahas1

1 Sheffield Kidney Institute and 2 Department of Pathology, Northern General Hospital, Sheffield, UK

Keywords: calciphylaxis; calcium–phosphate product; chronic renal failure; secondary hyperparathyroidism



   Introduction
 
Calciphylaxis presenting as progressive painful necrosis of the skin and subcutaneous tissue in patients of chronic renal failure is increasingly recognized owing to the greater awareness of the condition [1–11]. Pathogenesis remains uncertain and specific therapy is debatable. We report a case with facial involvement, which to our knowledge has not been documented before. This patient subsequently died of septicaemia and spontaneous gastrointestinal haemorrhage. Diagnostic investigations like endoscopy and mesenteric angiogram, though planned, could not be carried out due to the poor general condition of the patient.



   Case
 
A 58-year-old non-diabetic Caucasian man with chronic renal insufficiency of unknown duration was under . . . [Full Text of this Article]



   Discussion
 


   Acknowledgments
 


   Notes
 


   References
 

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