Successful Treatment of Calciphylaxis in a Young Female With End-Stage Renal Disease on Peritoneal Dialysis With Parathyroidectomy, Intensification of Dialysis, and Sodium Thiosulphate—A Case Report and Literature Review

Calcific uremic arteriolopathy, commonly referred to as “calciphylaxis,” is a rare life-threatening condition observed in patients with chronic kidney disease and end-stage renal disease on dialysis. This results in necrotic, ischemic, tender dermal lesions anywhere in the body, but mainly on the ab...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Sasmit Roy MD, Sohil Narasimha Reddy MD, Amarinder Singh Garcha MD, Praveena Vantipalli MD, Sumit S Patel MD, Ebad Ur Rahman MD, Sreedhar Adapa MD
Formato: article
Lenguaje:EN
Publicado: SAGE Publishing 2021
Materias:
Acceso en línea:https://doaj.org/article/710b30f9aa664a539627c0e541364121
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:710b30f9aa664a539627c0e541364121
record_format dspace
spelling oai:doaj.org-article:710b30f9aa664a539627c0e5413641212021-12-01T02:03:31ZSuccessful Treatment of Calciphylaxis in a Young Female With End-Stage Renal Disease on Peritoneal Dialysis With Parathyroidectomy, Intensification of Dialysis, and Sodium Thiosulphate—A Case Report and Literature Review2324-709610.1177/23247096211060580https://doaj.org/article/710b30f9aa664a539627c0e5413641212021-11-01T00:00:00Zhttps://doi.org/10.1177/23247096211060580https://doaj.org/toc/2324-7096Calcific uremic arteriolopathy, commonly referred to as “calciphylaxis,” is a rare life-threatening condition observed in patients with chronic kidney disease and end-stage renal disease on dialysis. This results in necrotic, ischemic, tender dermal lesions anywhere in the body, but mainly on the abdominal wall and lower extremities, where subcutaneous tissue is abundant. Histologically, it is defined by calcification in dermal capillaries, arterioles, and subcutaneous adipose tissues. It can occur in all advanced stages of chronic kidney disease as well as end-stage renal disease patients on hemodialysis or peritoneal dialysis. Our case highlights a successful case of calciphylaxis in a young female patient who underwent parathyroidectomy and intensification of peritoneal dialysis regimen along with the infusion of sodium thiosulphate injection resulting in complete resolution of the lesion in 3 months. With limited evidence of treatment options and increased frequency of this condition in a dialysis patient, our case highlights the key aspects of calciphylaxis management in a young end-stage renal disease patient who didn’t need a change of dialysis modality. We also review the risk factors and current practiced management options of this condition in our article.Sasmit Roy MDSohil Narasimha Reddy MDAmarinder Singh Garcha MDPraveena Vantipalli MDSumit S Patel MDEbad Ur Rahman MDSreedhar Adapa MDSAGE PublishingarticleMedicine (General)R5-920PathologyRB1-214ENJournal of Investigative Medicine High Impact Case Reports, Vol 9 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine (General)
R5-920
Pathology
RB1-214
spellingShingle Medicine (General)
R5-920
Pathology
RB1-214
Sasmit Roy MD
Sohil Narasimha Reddy MD
Amarinder Singh Garcha MD
Praveena Vantipalli MD
Sumit S Patel MD
Ebad Ur Rahman MD
Sreedhar Adapa MD
Successful Treatment of Calciphylaxis in a Young Female With End-Stage Renal Disease on Peritoneal Dialysis With Parathyroidectomy, Intensification of Dialysis, and Sodium Thiosulphate—A Case Report and Literature Review
description Calcific uremic arteriolopathy, commonly referred to as “calciphylaxis,” is a rare life-threatening condition observed in patients with chronic kidney disease and end-stage renal disease on dialysis. This results in necrotic, ischemic, tender dermal lesions anywhere in the body, but mainly on the abdominal wall and lower extremities, where subcutaneous tissue is abundant. Histologically, it is defined by calcification in dermal capillaries, arterioles, and subcutaneous adipose tissues. It can occur in all advanced stages of chronic kidney disease as well as end-stage renal disease patients on hemodialysis or peritoneal dialysis. Our case highlights a successful case of calciphylaxis in a young female patient who underwent parathyroidectomy and intensification of peritoneal dialysis regimen along with the infusion of sodium thiosulphate injection resulting in complete resolution of the lesion in 3 months. With limited evidence of treatment options and increased frequency of this condition in a dialysis patient, our case highlights the key aspects of calciphylaxis management in a young end-stage renal disease patient who didn’t need a change of dialysis modality. We also review the risk factors and current practiced management options of this condition in our article.
format article
author Sasmit Roy MD
Sohil Narasimha Reddy MD
Amarinder Singh Garcha MD
Praveena Vantipalli MD
Sumit S Patel MD
Ebad Ur Rahman MD
Sreedhar Adapa MD
author_facet Sasmit Roy MD
Sohil Narasimha Reddy MD
Amarinder Singh Garcha MD
Praveena Vantipalli MD
Sumit S Patel MD
Ebad Ur Rahman MD
Sreedhar Adapa MD
author_sort Sasmit Roy MD
title Successful Treatment of Calciphylaxis in a Young Female With End-Stage Renal Disease on Peritoneal Dialysis With Parathyroidectomy, Intensification of Dialysis, and Sodium Thiosulphate—A Case Report and Literature Review
title_short Successful Treatment of Calciphylaxis in a Young Female With End-Stage Renal Disease on Peritoneal Dialysis With Parathyroidectomy, Intensification of Dialysis, and Sodium Thiosulphate—A Case Report and Literature Review
title_full Successful Treatment of Calciphylaxis in a Young Female With End-Stage Renal Disease on Peritoneal Dialysis With Parathyroidectomy, Intensification of Dialysis, and Sodium Thiosulphate—A Case Report and Literature Review
title_fullStr Successful Treatment of Calciphylaxis in a Young Female With End-Stage Renal Disease on Peritoneal Dialysis With Parathyroidectomy, Intensification of Dialysis, and Sodium Thiosulphate—A Case Report and Literature Review
title_full_unstemmed Successful Treatment of Calciphylaxis in a Young Female With End-Stage Renal Disease on Peritoneal Dialysis With Parathyroidectomy, Intensification of Dialysis, and Sodium Thiosulphate—A Case Report and Literature Review
title_sort successful treatment of calciphylaxis in a young female with end-stage renal disease on peritoneal dialysis with parathyroidectomy, intensification of dialysis, and sodium thiosulphate—a case report and literature review
publisher SAGE Publishing
publishDate 2021
url https://doaj.org/article/710b30f9aa664a539627c0e541364121
work_keys_str_mv AT sasmitroymd successfultreatmentofcalciphylaxisinayoungfemalewithendstagerenaldiseaseonperitonealdialysiswithparathyroidectomyintensificationofdialysisandsodiumthiosulphateacasereportandliteraturereview
AT sohilnarasimhareddymd successfultreatmentofcalciphylaxisinayoungfemalewithendstagerenaldiseaseonperitonealdialysiswithparathyroidectomyintensificationofdialysisandsodiumthiosulphateacasereportandliteraturereview
AT amarindersinghgarchamd successfultreatmentofcalciphylaxisinayoungfemalewithendstagerenaldiseaseonperitonealdialysiswithparathyroidectomyintensificationofdialysisandsodiumthiosulphateacasereportandliteraturereview
AT praveenavantipallimd successfultreatmentofcalciphylaxisinayoungfemalewithendstagerenaldiseaseonperitonealdialysiswithparathyroidectomyintensificationofdialysisandsodiumthiosulphateacasereportandliteraturereview
AT sumitspatelmd successfultreatmentofcalciphylaxisinayoungfemalewithendstagerenaldiseaseonperitonealdialysiswithparathyroidectomyintensificationofdialysisandsodiumthiosulphateacasereportandliteraturereview
AT ebadurrahmanmd successfultreatmentofcalciphylaxisinayoungfemalewithendstagerenaldiseaseonperitonealdialysiswithparathyroidectomyintensificationofdialysisandsodiumthiosulphateacasereportandliteraturereview
AT sreedharadapamd successfultreatmentofcalciphylaxisinayoungfemalewithendstagerenaldiseaseonperitonealdialysiswithparathyroidectomyintensificationofdialysisandsodiumthiosulphateacasereportandliteraturereview
_version_ 1718405965795033088