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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spelling oai:doaj.org-article:31b360b07e6243e680943385fd1063202021-12-02T16:24:52ZAcral gangrene as a presentation of non-uremic calciphylaxis2231-07702249-446410.4103/2231-0770.120504https://doaj.org/article/31b360b07e6243e680943385fd1063202013-10-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.4103/2231-0770.120504https://doaj.org/toc/2231-0770https://doaj.org/toc/2249-4464We 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.Muhammad HammadahShruti ChaturvediJennifer JueAndrew Blake BuletkoMohammed QintarMohammed Eid MadmaniPrashant SharmaThieme Medical and Scientific Publishers Pvt. Ltd.articleacral gangrenecalciphylaxisnon uremicsodium thiosulfatevasculitisMedicineRENAvicenna Journal of Medicine, Vol 03, Iss 04, Pp 109-111 (2013)
institution DOAJ
collection DOAJ
language EN
topic acral gangrene
calciphylaxis
non uremic
sodium thiosulfate
vasculitis
Medicine
R
spellingShingle acral gangrene
calciphylaxis
non uremic
sodium thiosulfate
vasculitis
Medicine
R
Muhammad Hammadah
Shruti Chaturvedi
Jennifer Jue
Andrew Blake Buletko
Mohammed Qintar
Mohammed Eid Madmani
Prashant Sharma
Acral gangrene as a presentation of non-uremic calciphylaxis
description 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.
format article
author Muhammad Hammadah
Shruti Chaturvedi
Jennifer Jue
Andrew Blake Buletko
Mohammed Qintar
Mohammed Eid Madmani
Prashant Sharma
author_facet Muhammad Hammadah
Shruti Chaturvedi
Jennifer Jue
Andrew Blake Buletko
Mohammed Qintar
Mohammed Eid Madmani
Prashant Sharma
author_sort Muhammad Hammadah
title Acral gangrene as a presentation of non-uremic calciphylaxis
title_short Acral gangrene as a presentation of non-uremic calciphylaxis
title_full Acral gangrene as a presentation of non-uremic calciphylaxis
title_fullStr Acral gangrene as a presentation of non-uremic calciphylaxis
title_full_unstemmed Acral gangrene as a presentation of non-uremic calciphylaxis
title_sort acral gangrene as a presentation of non-uremic calciphylaxis
publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
publishDate 2013
url https://doaj.org/article/31b360b07e6243e680943385fd106320
work_keys_str_mv AT muhammadhammadah acralgangreneasapresentationofnonuremiccalciphylaxis
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AT jenniferjue acralgangreneasapresentationofnonuremiccalciphylaxis
AT andrewblakebuletko acralgangreneasapresentationofnonuremiccalciphylaxis
AT mohammedqintar acralgangreneasapresentationofnonuremiccalciphylaxis
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