1,399 results match your criteria Calciphylaxis


Pulmonary Calcifications: Is it an Entity in the New World Dialysis Patient?

Indian J Nephrol 2019 Mar-Apr;29(2):128-131

Department of Nephrology and Pathology, Sir Ganga Ram Hospital, New Delhi, India.

Metastatic pulmonary calcification (MPC) has been described in the literature to affect up to 60% of dialysis patients. Several case series of MPC were described in 1960s and 1970s. Patients are generally asymptomatic or may present with acute respiratory distress. Read More

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http://dx.doi.org/10.4103/ijn.IJN_5_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6440326PMC
April 2019
1 Read

[POEMS Syndrome: Nosographic classification and considerations on a clinical case].

G Ital Nefrol 2019 Apr;36(2)

U.O.C. di Nefrologia e Dialisi, Ospedale "Maggiore" Modica.

POEMS syndrome is a rare multisystemic disease characterised by the coexistence of two main symptoms, polyneuropathy and monoclonal gammopathy, associated with minor symptoms such as organomegaly, endocrinopathy, and skin changes. We describe a patient who presented with symptoms and signs fulfilling the criteria of POEMS. We have carried out a literature review with particular emphasis on its demographic and polymorphic clinical features. Read More

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April 2019
2 Reads

Refractory secondary hyperparathyroidism in waiting list for parathyroidectomy: who we should operate first in a quaternary hospital in Brazil regarding survival.

Ren Fail 2019 Nov;41(1):183-189

b Rio de Janeiro State University, Medical Sciences Post-Graduation Program , Rio de Janeiro , Brazil.

Background: Few centers in Brazil perform parathyroidectomy (PTX) for recalcitrant secondary hyperparathyroidism (SHPT) generating a long queue. There is little data regarding prioritize criteria besides chronological order and survival.

Objectives: To determine the difference of clinical and laboratory factors between PTX patients and those who remained in the line despite the need for surgery and their survival. Read More

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http://dx.doi.org/10.1080/0886022X.2019.1590210DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6450528PMC
November 2019
1 Read

Phenprocoumon based anticoagulation is an underestimated factor in the pathogenesis of calciphylaxis.

BMC Nephrol 2019 Apr 2;20(1):114. Epub 2019 Apr 2.

Department of Nephrology, University Hospital of Marburg, UKGM GmbH, Baldingerstraße 1, 35033, Marburg, Germany.

Background: Calciphylaxis is a life threatening complication in renal patients. Of great importance is the identification of concomitant factors for calciphylaxis. Due to the variability of clinical presentation the evaluation of such factors may be obscured when calciphylaxis diagnosis is based just on clinical features. Read More

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http://dx.doi.org/10.1186/s12882-019-1301-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6444830PMC
April 2019
4 Reads

Successful treatment of extensive uremic calciphylaxis with intravenous sodium thiosulfate and its potential in treating various diseases of pathologic calcification.

Acta Dermatovenerol Alp Pannonica Adriat 2019 Mar;28(1):37-40

Department of Dermatovenerology, Maribor University Medical Center, Maribor, Slovenia.

A 72-year-old female patient presented with an end-stage renal disease on on-line hemodiafiltration and warfarin therapy with advanced ulcerated calciphylaxis on the lower extremities, complicated by two episodes of cellulitis. She was successfully treated for 8 months with intravenous sodium thiosulfate in combination with modification of medication and dialysis treatment, careful wound care, and other supportive measures. Calciphylaxis is an uncommon life-threatening systemic disease, mostly occurring in patients with chronic kidney disease and other risk factors. Read More

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March 2019
1 Read

Calciphylaxis as A Rare Cause of A Chronic Wound in An 83-Year-Old Woman.

Geriatrics (Basel) 2019 Mar 18;4(1). Epub 2019 Mar 18.

Department of Endocrinology, Diabetology and Geriatrics, Stuttgart General Hospital, 70374 Bad Cannstatt, Prießnitzweg 24, Germany.

Chronic wounds are common in elderly patients, and the majority of them are caused by vascular diseases, such as peripheral arterial occlusive disease (PAD) or chronic venous insufficiency. Because of typical signs, these diseases can be usually easily differentiated. However, 10% of chronic wounds are caused by specific rare diseases, such as vasculitis, specific infections, skin cancer, or calciphylaxis. Read More

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http://dx.doi.org/10.3390/geriatrics4010028DOI Listing
March 2019
2 Reads

Glans penis necrosis caused by calcific uremic arteriolopathy.

Dermatol Online J 2019 Feb 15;25(2). Epub 2019 Feb 15.

Dermatology Unit, Hospital Regional "Licenciado Adolfo López Mateos", ISSSTE, Mexico City.

Calcific uremic arteriolopathy (CUA) or calciphylaxis is a syndrome characterized by calcification of vessels located in the dermis and adipose tissue. It commonly occurs in patients with diabetes mellitus, hypertension, and end-stage renal disease. Clinical presentation generally begins with severe pain, followed by the presence of liveloid or purpuric plaques. Read More

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February 2019
3 Reads

Non-uremic calciphylaxis in a patient with multiple rheumatologic diseases.

Dermatol Online J 2019 Feb 15;25(2). Epub 2019 Feb 15.

Department of Dermatology, University of California, San Diego School of Medicine, La Jolla, California.

Non-uremic calciphylaxis is a rare, life-threatening condition characterized clinically by cutaneous necrosis and histologically by calcium deposition in small vessel walls. The etiology of non-uremic calciphylaxis remains the subject of ongoing speculation and debate. Herein we present a patient with calciphylaxis who had normal kidney function and numerous rheumatologic diseases, namely systemic lupus erythematosus (SLE), Sjogren syndrome (SS), and myasthenia gravis (MG). Read More

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February 2019
3 Reads

Non-uremic calciphylaxis: a rare and late adverse reaction of warfarin.

Curr Drug Saf 2019 Mar 3. Epub 2019 Mar 3.

GCS Medical College, Ahmedabad. India.

Calciphylaxis is a complex dermatological lesion of micro vascular calcification that is typically presented as panniculitis with gangrenous painful lesions having uremic and non-uremic causes. We present a case of a 48-year male with a history of paroxysmal atrial fibrillation and hypertension taking amlodipine 5 mg and warfarin 5 mg daily for the last 26 month. The patient had a 6-month history of painful swelling followed by necrotic skin ulcer over the right leg. Read More

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http://dx.doi.org/10.2174/1574886314666190304094407DOI Listing
March 2019
24 Reads

A rare clinical case of penile gangrene in a patient with chronic renal failure and diabetes mellitus.

Urol Case Rep 2019 Mar 31;23:108-109. Epub 2019 Jan 31.

Dept. of Urology, UMHAT, "Kanev", "Nezavisimost" 2 str., Ruse, 7000, Bulgaria.

We report here a case of penile gangrene due to penile calciphylaxis in a patient with diabetes mellitus and chronic renal failure. Initially the patient demonstrated dry gangrene of the glans penis, which turned to wet after partial amputation. The main cause of the gangrene was considered to be circulatory insufficiency induced by severe arteriosclerosis. Read More

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http://dx.doi.org/10.1016/j.eucr.2019.01.019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6370555PMC
March 2019
1 Read

Calciphylaxis in a renal transplant recipient with normal graft function: A case report and review of literature.

Saudi J Kidney Dis Transpl 2019 Jan-Feb;30(1):215-220

Department of Medicine, Harvard Medical School, Massachusetts General Hospital, Boston, USA.

Calciphylaxis, also known as calcific uremic arteriolopathy, is a rare, life-threatening complication of end-stage renal disease. However, it may also occur in patients without renal failure, the nonuremic calciphylaxis. Most patients present with painful skin ulcers. Read More

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February 2019
1 Read

Resolution of acenocoumarol-associated calciphylaxis with drug withdrawal.

Australas J Dermatol 2019 Feb 20. Epub 2019 Feb 20.

Department of Dermatology, Clinical Hospital and University and School of Medicine of Santiago de Compostela, Santiago de Compostela, Spain.

Calciphylaxis is a syndrome of cutaneous ischaemic necrosis and ulceration due to arteriolar calcification with subsequent thrombosis, which rarely presents in patients without terminal kidney disease. Recently, several reports of coumarins-associated calciphylaxis have stressed the relevance of anticoagulant therapy as an important risk factor for the development of this condition. We report five cases of acenocoumarol-associated, biopsy-proven calciphylaxis in women aged between 64 and 92 years. Read More

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http://doi.wiley.com/10.1111/ajd.13006
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http://dx.doi.org/10.1111/ajd.13006DOI Listing
February 2019
4 Reads

Dermatologic Urgencies and Emergencies: What Every Pathologist Should Know.

Arch Pathol Lab Med 2019 Feb 20. Epub 2019 Feb 20.

From the Department of Dermatology, Saint Louis University, St Louis, Missouri (Dr Abate);the Departments of Dermatology (Dr Battle),and Pathology (Drs Gardner and Shalin),University of Arkansas for Medical Sciences, Little Rock; and the Department of Dermatology, University of Mississippi Medical Center, Jackson (Dr Emerson).

Context.—: Fatal dermatologic diseases and ones with high morbidity can occur in the inpatient setting. In such cases, prompt and accurate assessment of a bedside skin biopsy is required. Read More

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http://dx.doi.org/10.5858/arpa.2018-0239-RADOI Listing
February 2019
2 Reads

Treatment of Calciphylaxis in CKD: A Systematic Review and Meta-analysis.

Kidney Int Rep 2019 Feb 9;4(2):231-244. Epub 2018 Oct 9.

Division of Nephrology, Department of Medicine, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Bangkok, Thailand.

Background: Calciphylaxis is a life-threatening complication of chronic kidney disease (CKD). To inform clinical practice, we performed a systematic review of case reports, case series, and cohort studies to synthesize the available treatment modalities and outcomes of calciphylaxis in patients with CKD.

Methods: Electronic databases were searched for studies that examined the uses of sodium thiosulfate, surgical parathyroidectomy, calcimimetics, hyperbaric oxygen therapy, and bisphosphonates for calciphylaxis in patients with CKD, including end-stage renal disease. Read More

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http://dx.doi.org/10.1016/j.ekir.2018.10.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6365410PMC
February 2019
1 Read

Non-Uremic Calciphylaxis: A Rare Diagnosis with Limited Therapeutic Strategies.

Eur J Case Rep Intern Med 2018 27;5(12):000986. Epub 2018 Dec 27.

Unidade Funcional de Medicina 2.1, Hospital de Santo António dos Capuchos, Centro Hospitalar de Lisboa Central, Lisbon, Portugal.

Calciphylaxis is a rare condition characterized by the emergence of non-healing skin ulcers secondary to arterial calcification and thrombosis, typically diagnosed in patients with end-stage kidney disease (ESKD). When it develops in patients without ESKD, it is called non-uremic calciphylaxis (NUC). The latter is an even rarer diagnosis with an uncertain pathophysiology and a high mortality rate (52%), mainly due to sepsis (50%). Read More

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http://dx.doi.org/10.12890/2018_000986DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6346971PMC
December 2018

Bilateral Mastodynia: An Unusual Presentation of Calciphylaxis.

Acta Med Port 2019 Feb 1;32(1):86. Epub 2019 Feb 1.

Senology Unit. Department of Gynecology and Obstetrics. Setúbal Medical Centre. Setúbal. Portugal.

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http://dx.doi.org/10.20344/amp.10495DOI Listing
February 2019
1 Read

A Catastrophic Case of Idiopathic Cholesterol Crystal Embolism with Multiple Lethal Complications: A Labyrinth Underneath the Diagnosis of Skin Ulcers in Chronic Kidney Disease Patients.

Intern Med 2019 Feb 1. Epub 2019 Feb 1.

Division of Nephrology, Endocrinology and Vascular Medicine, Tohoku University Graduate School of Medicine, Japan.

A 66-year-old man was admitted to our hospital because of multiple refractory skin ulcers. Based on his severe systemic arterial calcification and severe calcium-phosphate imbalance due to severe kidney dysfunction, we initially considered calciphylaxis. However, a skin biopsy provided a diagnosis of cholesterol crystal embolization. Read More

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http://dx.doi.org/10.2169/internalmedicine.2378-18DOI Listing
February 2019
2 Reads

Non-uremic calciphylaxis associated with alcoholic hepatitis: A case report.

World J Hepatol 2019 Jan;11(1):127-132

Department of Dermatology, Cleveland Clinic, Cleveland 44195, OH, United States.

Background: Calciphylaxis is a form of vascular calcification more commonly associated with renal disease. While the exact mechanism of calciphylaxis is poorly understood, most cases are due to end stage kidney disease. However, it can also be found in patients without kidney disease and in such cases is termed non-uremic calciphylaxis for which have multiple proposed etiologies. Read More

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http://dx.doi.org/10.4254/wjh.v11.i1.127DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6354123PMC
January 2019
3 Reads

Sodium thiosulfate and pamidronate for treatment of calciphylaxis: case report.

Colomb Med (Cali) 2018 Dec 30;49(4):288-291. Epub 2018 Dec 30.

Complejo Asistencial Universitario de León, Servicio de Nefrología, León, España.

Introduction: Calciphylaxis is an infrequent disease that almost exclusively affects patients with chronic kidney disease, although cases have been observed in patients without renal function impairment. The diagnosis is mainly made by clinical manifestations and subsequently confirmed by radiological and histological study. The optimal treatment is not known, although there is a consensus that a multifactorial approach is required. Read More

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http://dx.doi.org/10.25100/cm.v49i3.4134DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6342083PMC
December 2018
10 Reads

The use of cinacalcet for the treatment of calciphylaxis in patients with chronic kidney disease: A comprehensive review.

Australas J Dermatol 2019 Jan 21. Epub 2019 Jan 21.

Department of Dermatology, Princess Alexandra Hospital, Brisbane, Queensland, Australia.

Calciphylaxis is a rare but life-threatening condition, most commonly affecting patients with stage 4 or 5 chronic kidney disease. No universally accepted therapy exists so far. In an attempt to avoid surgical intervention with parathyroidectomy, which is of questionable efficacy and carries several risks, a number of noninvasive treatments have been trialled with variable success. Read More

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http://dx.doi.org/10.1111/ajd.12992DOI Listing
January 2019
3 Reads

Calciphylaxis and nephrogenic fibrosing dermopathy with pseudoxanthoma elasticum-like changes: Successful treatment with sodium thiosulfate.

J Dermatol 2019 Jan 21. Epub 2019 Jan 21.

Department of Dermatology, Gunma University Graduate School of Medicine, Maebashi, Japan.

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http://dx.doi.org/10.1111/1346-8138.14780DOI Listing
January 2019
11 Reads

Sodium thiosulfate in calciphylaxis: Make a long story short.

JAAD Case Rep 2019 Jan 4;5(1):19-20. Epub 2018 Dec 4.

Nephrology Department, General Hospital of Livadeia, Greece.

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http://dx.doi.org/10.1016/j.jdcr.2018.09.023DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323651PMC
January 2019
2 Reads

Update on calciphylaxis etiopathogenesis, diagnosis, and management.

Cutis 2018 Dec;102(6):395-400

Departments of Dermatology and Medicine, University of Pennsylvania, Philadelphia, USA.

Calciphylaxis is a rare painful skin condition classically seen in patients with end-stage renal disease (ESRD), particularly those on chronic dialysis; however, it also has been increasingly reported in patients with normal renal function. Calciphylaxis is associated with high mortality rates, and excruciating pain and nonhealing ulcers often lead to recurrent hospitalizations and infectious complications. It is critical for dermatologists to recognize the clinical features of calciphylaxis to ensure accurate and timely diagnosis and proper management. Read More

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December 2018
14 Reads

[Early diagnosis, prevention and treatment for calcific uremic arteriolopathy].

Zhong Nan Da Xue Xue Bao Yi Xue Ban 2018 Nov;43(11):1251-1256

Department of Nephrology, Third Xiangya Hospital, Central South University, Changsha 410013, China.

Calcific uremic arteriopathy (CUA), termed calciphylaxis, is a rare but highly fatal clinical syndrome. There is no clearly laboratory diagnostic criteria for CUA. The medium and small arterial calcification and microthrombosis discovered by skin biopsy, radiologic imaging,bone scan and the evidence of activation of the bone morphogenetic protein signal (BMPs) transduction pathway are useful for early diagnosis of this disease. Read More

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http://www.csumed.org/xbwk/CN/10.11817/j.issn.1672-7347.2018
Publisher Site
http://dx.doi.org/10.11817/j.issn.1672-7347.2018.11.014DOI Listing
November 2018
15 Reads

The Effectiveness of Topical Cerium Nitrate-Silver Sulfadiazine Application on Overall Outcome in Patients with Calciphylaxis.

Dermatology 2019 3;235(2):120-129. Epub 2019 Jan 3.

Department of Nephrology and Organ Transplantation, Center for Rare Renal Disease, University Hospital of Toulouse, Toulouse, France,

Background: Calciphylaxis (CPX) is a rare and life-threatening disease characterized by vascular calcification and development of painful and necrotizing skin lesions with a challenging management. Mechanisms of CPX are complex and include an imbalance between vascular calcification promoters and inhibitors, and frequently vitamin K deficiency.

Objectives: To describe the various presentations and identify predictive factors of death in patients with CPX. Read More

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http://dx.doi.org/10.1159/000493975DOI Listing
January 2019
2 Reads

Demographics, Comorbid Conditions, and Outcomes of Patients With Nonuremic Calciphylaxis.

JAMA Dermatol 2019 Jan 2. Epub 2019 Jan 2.

Division of Dermatology, Department of Medicine, University of Washington, Seattle.

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http://dx.doi.org/10.1001/jamadermatol.2018.4937DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439536PMC
January 2019
3 Reads

Removing the problem: parathyroidectomy for calciphylaxis.

BMJ Case Rep 2018 Dec 22;11(1). Epub 2018 Dec 22.

Department of Internal Medicine, Michigan State University College of Human Medicine, East Lansing, Michigan, USA.

Calcific uremic arteriolopathy (CUA), widely known as calciphylaxis, is a rare and lethal disease that usually affects patients with end-stage renal disease. It is characterised by widespread vascular calcification leading to tissue ischaemia and necrosis and formation of characteristic skin lesions with black eschar. Treatment options include sodium thiosulfate, cinacalcet, phosphate binders and in resistant cases, parathyroidectomy. Read More

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http://dx.doi.org/10.1136/bcr-2018-226696DOI Listing
December 2018
6 Reads

Medication-Related Osteonecrosis of the Jaw in a Patient with Nonuremic Calciphylaxis.

Skinmed 2018 21;16(6):424-426. Epub 2018 Dec 21.

Department of Dermatology and Venereology, Centro Hospitalar São João, EPE, Porto, Portugal.

A 62-year-old man was referred to the emergency department of our hospital with pain and swelling in the left mandibular region that had evolved over the previous 2 months (Figure 1). His medical history included nonuremic calciphylaxis and systemic sclerosis (Figure 2). Since the diagnosis of the nonuremic calciphylaxis 5 years before, the patient had been treated with intravenous (IV) sodium pamidronate 60 mg per week for 11 months, without improvement, followed by IV sodium thiosulfate 25 mg twice a week for 18 month. Read More

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December 2018
3 Reads

Calciphylaxis-as a drug induced adverse event.

Expert Opin Drug Saf 2019 01 24;18(1):29-35. Epub 2018 Dec 24.

d Division of Nephrology, Department of Medicine , Massachusetts General Hospital , Boston , MA , USA.

Introduction: Calciphylaxis is a rare but devastating disease with a mortality rate up to 50% in 1 year. It is characterized by profoundly painful ischemic skin lesions and vascular calcification that affects predominantly patients with end stage renal disease. The use of certain medications is an important modifiable risk factor in calciphylaxis and discontinuation of these is a mainstay of treatment. Read More

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http://dx.doi.org/10.1080/14740338.2019.1559813DOI Listing
January 2019
8 Reads

Chronic Kidney Disease and Calciphylaxis: A Literature Review.

Cureus 2018 Sep 19;10(9):e3334. Epub 2018 Sep 19.

Internal Medicine, King Edward Medical University, Mayo Hospital, Lahore, PAK.

Calcific uremic arteriolopathy (CUA), also known as calciphylaxis, is a rare complication of chronic kidney disease (CKD). Its incidence is increasing due to a better understanding and diagnosis by physicians. Calciphylaxis is a fatal complication of many metabolic disorders. Read More

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https://www.cureus.com/articles/14608-chronic-kidney-disease
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http://dx.doi.org/10.7759/cureus.3334DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6248774PMC
September 2018
17 Reads

Hans Selye and his studies on the role of mast cells in calciphylaxis and calcergy.

Authors:
Domenico Ribatti

Inflamm Res 2019 Feb 19;68(2):177-180. Epub 2018 Nov 19.

Department of Basic Medical Sciences, Neurosciences and Sensory Organs, University of Bari Medical School, Policlinico -Piazza G. Cesare, 11, 70124, Bari, Italy.

Hans Selye was an endocrinologist, a pioneer of research on biological stress in human individuals and groups. His most important scientific contributions include in 1936 the evidence that the pituitary-adrenal-thymus axis was activated by various nocuous stimuli, which led to the involution of the thymus and of the lymphoid organs; in 1946, the theory of general adaptation syndrome (GAS), pointing out that this is a general reaction that leads to resistance of the organism to various insults. This review article is focused on the general interest of Selye on the important role played by mast cells in different pathological conditions and in particular in calciphylaxis and calcergy, summarized in a classic book, which is a lasting contribution on the subject. Read More

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http://dx.doi.org/10.1007/s00011-018-1199-7DOI Listing
February 2019
1 Read

A Rare Case of Multiorgan Calciphylaxis in a Patient with Stage 5 Chronic Kidney Disease.

Case Rep Urol 2018 18;2018:9603680. Epub 2018 Oct 18.

Department of Urology, Aladan Hospital, Kuwait.

Calciphylaxis or calcific uremic arteriolopathy (CUA) is a potentially life-threatening vasculopathy involving the skin and subcutaneous tissues. It is usually associated with chronic kidney disease (CKD) and rarely with acute renal failure or predialysis patients. The clinical diagnosis of calcific uremic arteriolopathy relies on high index of suspicion. Read More

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http://dx.doi.org/10.1155/2018/9603680DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6211149PMC
October 2018
2 Reads

Calciphylaxis in patients with chronic kidney disease: A disease which is still bewildering and potentially fatal.

Nefrologia 2018 Nov - Dec;38(6):579-586. Epub 2018 Nov 8.

Servicio de Nefrología y Trasplante Renal, Hospital Clínic, Barcelona, España. Electronic address:

Calciphylaxis, also known as calcific uraemic arteriolopathy, is a rare syndrome that typically causes skin necrosis and usually affects dialysis patients. Its pathogenesis is multifactorial and is the consequence of many factors causing ectopic calcifications in patients with chronic kidney disease, such as calcium-phosphate metabolism disorders, hyper- or hypo-parathyroidism, diabetes, obesity, systemic inflammation and the use of vitamin K antagonists, among others. From a clinical point of view, calciphylaxis may progress from painful purpura to extensive areas of skin necrosis that can potentially lead to superinfection and the death of the patient due to sepsis. Read More

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http://dx.doi.org/10.1016/j.nefro.2018.05.007DOI Listing
November 2018
3 Reads

[Calcific uremic arteriolopathy in hemodialysis patient, review of literature through five cases reports].

Nephrol Ther 2018 Nov 29;14(6):439-445. Epub 2018 Jun 29.

Service de néphrologie-hémodialyse et transplantation rénale, université Cadi Ayyad, CHU Mohammed VI, BP 2360 Principal, avenue Ibn Sina, Marrakech, Maroc.

Calcific uremic arteriolopathy, also called calciphylaxis, is a rare and severe disorder that presents with skin ischemia and necrosis, sometimes it presents with systemic necrosis, the process is secondary to the obliteration of the arterioles first by sub-intimal calcium deposits and then by thrombosis. These lesions can often lead to death due to infectious complications and comorbidities such as diabetes, obesity, arteritis, diffuse vascular calcifications, heart disease and undernutrition. The diagnosis is suggested by the characteristic ischemic skin lesions and their distribution, often bilateral and painful, associeted with calcific uremic arteriolopathy risk factors (phosphocalcic abnormalities, anti-vitamin K). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S17697255183013
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http://dx.doi.org/10.1016/j.nephro.2018.04.004DOI Listing
November 2018
13 Reads

Palliative Care Use and Patterns of End-of-Life Care in Hospitalized Patients With Calciphylaxis.

J Pain Symptom Manage 2019 Feb 3;57(2):e1-e3. Epub 2018 Nov 3.

Renal-Electrolyte and Hypertension Division, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA; Department of Medicine, Palliative and Advanced Illness Research Center, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

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http://dx.doi.org/10.1016/j.jpainsymman.2018.10.514DOI Listing
February 2019
8 Reads

Management of Penile Calciphylaxis: A Case Study.

J Wound Ostomy Continence Nurs 2018 Nov/Dec;45(6):536-539

Jacqueline M. Zillioux, MD, Department of Urology, University of Virginia, Charlottesville. Alexander Geisenhoff, BS, School of Medicine, Rush University, Chicago, Illinois. Mikel Gray, PhD, Department of Urology, University of Virginia, Charlottesville.

Background: Calciphylaxis, also called calcific uremic arteriolopathy, is a highly morbid syndrome characterized by calcium deposition and occlusion of small arterial vessels of the dermis and subdermal adipose tissue, leading to necrosis and gangrene. Penile involvement is rare and its management presents considerable challenges.

Case: We review the case of a 47-year-old man with end-stage renal disease managed with hemodialysis, diabetes mellitus, and urinary incontinence who presented with a painful necrotic lesion on his glans penis, and the second and third toes of his right foot. Read More

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http://dx.doi.org/10.1097/WON.0000000000000483DOI Listing
March 2019
9 Reads

Non-uraemic calciphylaxis successfully treated with pamidronate infusion.

Int Wound J 2019 Feb 4;16(1):250-255. Epub 2018 Nov 4.

Department of Orthopaedics, Geisinger Medical Center, Danville, Pennsylvania.

Calciphylaxis is a rare and potentially fatal disease that affects the subcutaneous layer of the skin. It is a calcific vasculopathy induced by a systemic process that causes occlusion of small blood vessels. The mortality rate for individuals diagnosed with calciphylaxis is estimated between 52% and 81% with sepsis being the leading cause of death. Read More

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http://dx.doi.org/10.1111/iwj.13019DOI Listing
February 2019
3 Reads

[Hyperthyroidism-induced calciphylaxis: A case report].

Nephrol Ther 2018 Dec 29;14(7):548-553. Epub 2018 Oct 29.

Service de néphrologie, groupe hospitalier La Pitié-Salpêtrière, 75013 Paris, France. Electronic address:

Background: Calciphylaxis or calcific uremic arteriolopathy (CUA) is a cutaneous disease with ulcerations secondary to calcification of cutaneous and subcutaneous small arteries and arterioles. It is a rare but severe disease with significant morbidity and mortality affecting 1 to 4% of dialysis patients. The circumstances of occurrence are multiple. Read More

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http://dx.doi.org/10.1016/j.nephro.2018.08.001DOI Listing
December 2018
21 Reads

Non-uraemic calciphylaxis (NUC) postliver transplantation.

BMJ Case Rep 2018 Oct 24;2018. Epub 2018 Oct 24.

Medicine; Endocrinology, Diabetes and Nutrition, University of Maryland Medical Center, Baltimore, Maryland, USA.

Calciphylaxis is a rare and life-threatening disease characterized by cutaneous arteriolar stenosis and vascular thrombosis leading to skin ischaemia and necrosis. While calciphylaxis occurs mostly in patients with end-stage renal disease, the disorder has been described in patients with normal renal function, namely non-uraemic calciphylaxis (NUC). A 41-year-old African-American woman presented with a painful ulcerative rash on her thighs and right buttock 2 months after undergoing an orthotopic liver transplantation. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22653
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http://dx.doi.org/10.1136/bcr-2018-226537DOI Listing
October 2018
20 Reads

Long-Term Anticoagulation for Patients Receiving Dialysis.

Circulation 2018 Oct;138(15):1530-1533

Division of Nephrology, Department of Medicine, Massachusetts General Hospital, Boston (S.U.N., R.T.).

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http://dx.doi.org/10.1161/CIRCULATIONAHA.118.037091DOI Listing
October 2018

Management of calciphylaxis in a burn center: A case series and review of the literature.

Burns 2019 02 12;45(1):241-246. Epub 2018 Oct 12.

Burn Center, US Army Institute of Surgical Research, Fort Sam Houston, TX, United States; Uniformed Services University of the Health Sciences, Bethesda, MD, United States. Electronic address:

Calciphylaxis is a rare, necrotizing skin disorder usually associated with kidney disease, but also caused by many other systemic illnesses. This disease is associated with mortality rates as high as 80% at 1year. We present the demographic and clinical data of nine patients with calciphylaxis treated at our burn center over a 10year period. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03054179183031
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http://dx.doi.org/10.1016/j.burns.2018.09.008DOI Listing
February 2019
36 Reads

Calciphylaxis in a kidney transplant patient.

Rev Clin Esp 2018 Oct 9. Epub 2018 Oct 9.

Servicio de Dermatología, Complejo Hospitalario de Toledo, Toledo, España.

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https://linkinghub.elsevier.com/retrieve/pii/S00142565183023
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http://dx.doi.org/10.1016/j.rce.2018.08.004DOI Listing
October 2018
2 Reads

Review: update on the management of calciphylaxis.

QJM 2019 Jan;112(1):29-34

Division of Nephrology, Department of Internal Medicine, Massachusetts General Hospital, Boston, MA, USA.

Calciphylaxis is a disease of significant morbidity and mortality, predominantly affecting dialysis patients. The term 'calciphylaxis' was coined by Seyle et al. in 1961 to describe calcium deposition in the skin and subcutaneous soft tissue of uremic rats in response to 'triggers' (e. Read More

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https://academic.oup.com/qjmed/advance-article/doi/10.1093/q
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http://dx.doi.org/10.1093/qjmed/hcy234DOI Listing
January 2019
8 Reads

Multi-intervention management of calcific uremic arteriolopathy in 24 patients.

Clin Kidney J 2018 Oct 9;11(5):704-709. Epub 2018 Mar 9.

Department of Medicine, Division of Nephrology, University of British Columbia, Vancouver, BC, Canada.

Background: Calcific uremic arteriolopathy (CUA), also known as calciphylaxis, is a rare but life-threatening condition predominately occurring in patients with end-stage renal disease on dialysis. In the absence of randomized clinical trials to guide management, clinicians must rely on observational data. We have previously reported the outcomes of our multi-intervention management in seven patients and now present a larger series of patients with extended follow-up. Read More

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https://academic.oup.com/ckj/article/11/5/704/4925437
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http://dx.doi.org/10.1093/ckj/sfy007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6165754PMC
October 2018
8 Reads

Factors associated with false-negative pathologic diagnosis of calciphylaxis.

J Cutan Pathol 2019 Jan 4;46(1):16-25. Epub 2018 Nov 4.

Massachusetts General Hospital, Dermatopathology Unit, Department of Pathology, Boston, Massachusetts.

Background: Calciphylaxis is a rare, painful, and debilitating disorder of vascular calcification and skin necrosis that typically affects patients with advanced kidney disease. During our routine pathology practice, we noted several missed diagnoses on calciphylaxis consultation cases originating from outside institutions and sought to explore factors associated with false-negative pathologic diagnosis of calciphylaxis.

Methods: The pathology database of a large tertiary academic medical center was retrospectively searched for "calciphylaxis" in inside reports on outside surgical consultation cases between 2007 and 2017. Read More

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http://doi.wiley.com/10.1111/cup.13364
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http://dx.doi.org/10.1111/cup.13364DOI Listing
January 2019
3 Reads

First-time-in-human randomized clinical trial in healthy volunteers and haemodialysis patients with SNF472, a novel inhibitor of vascular calcification.

Br J Clin Pharmacol 2018 Dec 3;84(12):2867-2876. Epub 2018 Oct 3.

Laboratoris Sanifit, Palma, Spain.

Aims: SNF472 is a calcification inhibitor being developed for the treatment of cardiovascular calcification in haemodialysis (HD) and in calciphylaxis patients. This study investigated the safety, tolerability and pharmacokinetics (PK) of intravenous (IV) SNF472 in healthy volunteers (HV) and HD patients.

Methods: This is a first-time-in-human, double-blind, randomized, placebo-controlled Phase I study to assess the safety, tolerability and PK of SNF472 after ascending single IV doses in HV and a single IV dose in HD patients. Read More

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http://doi.wiley.com/10.1111/bcp.13752
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http://dx.doi.org/10.1111/bcp.13752DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6255995PMC
December 2018
8 Reads

CRYSTALLINE RETINOPATHY AND RETINAL VASCULOPATHY IN CALCIFIC UREMIC ARTERIOLOPATHY (CALCIPHYLAXIS).

Retin Cases Brief Rep 2018 Fall;12(4):331-335

Vitreous Retina Macula Consultants of New York, New York.

Purpose: To report the posterior segment and retinal vascular manifestations of calcific uremic arteriolopathy (calciphylaxis). Clinical findings are correlated with multimodal imaging results.

Methods: Observational case report. Read More

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http://dx.doi.org/10.1097/ICB.0000000000000494DOI Listing
September 2018
9 Reads

Nonuremic Calciphylaxis.

J Clin Rheumatol 2018 Sep 27. Epub 2018 Sep 27.

From the American University of the Caribbean, Coral Gables, FL.

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http://dx.doi.org/10.1097/RHU.0000000000000899DOI Listing
September 2018
3 Reads