Successful treatment of severe calciphylaxis in a hemodialysis patient using low-calcium dialysate and medical parathyroidectomy: Case report and literature review

被引:26
作者
Wang, HY [1 ]
Yu, CC [1 ]
Huang, CC [1 ]
机构
[1] Chang Gung Mem Hosp, Dept Nephrol, Taipei 10591, Taiwan
关键词
calciphylaxis; low-calicium dialysate; hemodialysis; skin graft; medical parathyroidectomy;
D O I
10.1081/JDI-120028559
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
This investigation presents a case report of the successful treatment of severe calciphylaxis using zero- and low-calcium dialysate for hemodialysis, repeated wound debridement and skin grafting and medical parathyroidectomy with local injection of parathyroid glands with alcohol. To the authors' knowledge, this is the first case report of the use of medical parathyroidectomy and hemodialysis with low calcium dialysate to treat calciphylaxis in a dialysis patient. Finally, relevant English language articles on calciphylaxis from Medline are reviewed.
引用
收藏
页码:77 / 82
页数:6
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