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

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...

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Main Authors: Abdulrahman Ahmad, Ali Albaghli, Adel Michael, Khaled Refaat, Mohammad Omar, Ahmad Ibrahim, Bahaa Elmenshawy, Ashraf Maher, Rasha Alramah, Sami Mikhail, Mustafa Almahmid, Husain Alenezi, Yahya Elshebiney
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Urology
Online Access:http://dx.doi.org/10.1155/2018/9603680
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author Abdulrahman Ahmad
Ali Albaghli
Adel Michael
Khaled Refaat
Mohammad Omar
Ahmad Ibrahim
Bahaa Elmenshawy
Ashraf Maher
Rasha Alramah
Sami Mikhail
Mustafa Almahmid
Husain Alenezi
Yahya Elshebiney
author_facet Abdulrahman Ahmad
Ali Albaghli
Adel Michael
Khaled Refaat
Mohammad Omar
Ahmad Ibrahim
Bahaa Elmenshawy
Ashraf Maher
Rasha Alramah
Sami Mikhail
Mustafa Almahmid
Husain Alenezi
Yahya Elshebiney
author_sort Abdulrahman Ahmad
collection DOAJ
description 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. CUA is commonly associated with secondary hyperparathyroidism and high serum calcium and phosphate products. Moreover, using biopsy as a diagnostic tool is controversial, due to the high risk of poor wound healing and sepsis. Radiological studies usually reveal extensive calcification of branching vessels such as penile arteries, eventually leading to gangrene formation in extremities and penis. Histopathological analysis confirms the diagnosis of calcific uremic arteriolopathy and rules out the presence of malignancy. CUA is a systematic disease that involves multiple organs, and to the best of our knowledge this is the first reported case involving the penis, bladder, and eyes.
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institution Kabale University
issn 2090-696X
2090-6978
language English
publishDate 2018-01-01
publisher Wiley
record_format Article
series Case Reports in Urology
spelling doaj-art-79f065ec998f40f69a9376c8216502162025-02-03T05:57:35ZengWileyCase Reports in Urology2090-696X2090-69782018-01-01201810.1155/2018/96036809603680A Rare Case of Multiorgan Calciphylaxis in a Patient with Stage 5 Chronic Kidney DiseaseAbdulrahman Ahmad0Ali Albaghli1Adel Michael2Khaled Refaat3Mohammad Omar4Ahmad Ibrahim5Bahaa Elmenshawy6Ashraf Maher7Rasha Alramah8Sami Mikhail9Mustafa Almahmid10Husain Alenezi11Yahya Elshebiney12Department of Urology, Aladan Hospital, KuwaitDepartment of Urology, Aladan Hospital, KuwaitDepartment of Urology, Aladan Hospital, KuwaitDepartment of Urology, Aladan Hospital, KuwaitDepartment of Urology, Aladan Hospital, KuwaitDepartment of Urology, Aladan Hospital, KuwaitDepartment of Urology, Aladan Hospital, KuwaitDepartment of Urology, Aladan Hospital, KuwaitDepartment of Urology, Aladan Hospital, KuwaitDepartment of Urology, Aladan Hospital, KuwaitDepartment of Urology, Aladan Hospital, KuwaitDepartment of Urology, Aladan Hospital, KuwaitDepartment of Urology, Aladan Hospital, KuwaitCalciphylaxis 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. CUA is commonly associated with secondary hyperparathyroidism and high serum calcium and phosphate products. Moreover, using biopsy as a diagnostic tool is controversial, due to the high risk of poor wound healing and sepsis. Radiological studies usually reveal extensive calcification of branching vessels such as penile arteries, eventually leading to gangrene formation in extremities and penis. Histopathological analysis confirms the diagnosis of calcific uremic arteriolopathy and rules out the presence of malignancy. CUA is a systematic disease that involves multiple organs, and to the best of our knowledge this is the first reported case involving the penis, bladder, and eyes.http://dx.doi.org/10.1155/2018/9603680
spellingShingle Abdulrahman Ahmad
Ali Albaghli
Adel Michael
Khaled Refaat
Mohammad Omar
Ahmad Ibrahim
Bahaa Elmenshawy
Ashraf Maher
Rasha Alramah
Sami Mikhail
Mustafa Almahmid
Husain Alenezi
Yahya Elshebiney
A Rare Case of Multiorgan Calciphylaxis in a Patient with Stage 5 Chronic Kidney Disease
Case Reports in Urology
title A Rare Case of Multiorgan Calciphylaxis in a Patient with Stage 5 Chronic Kidney Disease
title_full A Rare Case of Multiorgan Calciphylaxis in a Patient with Stage 5 Chronic Kidney Disease
title_fullStr A Rare Case of Multiorgan Calciphylaxis in a Patient with Stage 5 Chronic Kidney Disease
title_full_unstemmed A Rare Case of Multiorgan Calciphylaxis in a Patient with Stage 5 Chronic Kidney Disease
title_short A Rare Case of Multiorgan Calciphylaxis in a Patient with Stage 5 Chronic Kidney Disease
title_sort rare case of multiorgan calciphylaxis in a patient with stage 5 chronic kidney disease
url http://dx.doi.org/10.1155/2018/9603680
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