Calciphylaxis with recalcitrant ulcers in the presence of moderate renal insufficiency.

Bilac C., Ozturk F., Ermertcan A. T., Bilac D. B., Sahin M. T., Temiz P., ...Daha Fazla

Wounds : a compendium of clinical research and practice, cilt.21, ss.42-6, 2009 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 21
  • Basım Tarihi: 2009
  • Dergi Adı: Wounds : a compendium of clinical research and practice
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.42-6
  • Bursa Uludağ Üniversitesi Adresli: Hayır

Özet

A 69 year-old woman with painful crural ulcers of 3 months duration presented at the authors' outpatient clinic. Dermatological examination revealed a necrotic ulceration with eschar formation localized on the anterior left crural region and the lateral malleolus of the right ankle. According to the clinical and histopathological findings, she was diagnosed with calciphylaxis. She had moderate renal insufficiency and secondary hyperparathyroidism due to hypertension. The ulcers improved significantly after 3 months of topical wound therapy. This case of calciphylaxis with recalcitrant ulcers in the presence of moderate renal insufficiency is presented to stress the importance of early diagnosis and management in this life-threatening dis-order.