Acral gangrene as a presentation of non-uremic calciphylaxis

We are describing a case of 55-year-old obese female with significant history of uncontrolled rheumatoid arthritis, who recently had decreased her immune-suppression medications. She presented with extensive acral gangrene involving multiple fingers and toes. Clinical picture and laboratory findings...

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Autores principales: Muhammad Hammadah, Shruti Chaturvedi, Jennifer Jue, Andrew Blake Buletko, Mohammed Qintar, Mohammed Eid Madmani, Prashant Sharma
Formato: article
Lenguaje:EN
Publicado: Thieme Medical and Scientific Publishers Pvt. Ltd. 2013
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Acceso en línea:https://doaj.org/article/31b360b07e6243e680943385fd106320
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Sumario:We are describing a case of 55-year-old obese female with significant history of uncontrolled rheumatoid arthritis, who recently had decreased her immune-suppression medications. She presented with extensive acral gangrene involving multiple fingers and toes. Clinical picture and laboratory findings were suggestive of vasculitis; however, skin biopsy established diagnosis of calciphylaxis, in settings of normal kidney function. Patient was treated with sodium thiosulfate with gradual improvement in her skin lesions.