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Case Reports
. 2015 Apr 16:2015:bcr2014209153.
doi: 10.1136/bcr-2014-209153.

Penile and generalised calciphylaxis in peritoneal dialysis

Affiliations
Case Reports

Penile and generalised calciphylaxis in peritoneal dialysis

Edmond Sarkis. BMJ Case Rep. .

Abstract

This is a rare case of penile and generalised calciphylaxis. We describe the case of a patient admitted to our hospital for septic shock and necrotic skin findings, end-stage renal disease on peritoneal dialysis. Skin findings turned out to be calciphyactic lesions. The patient was taken to the operating room for penile debridement and started on antibiotics. He was treated with sodium thiosulfate and switched to haemodialysis. Calciphylaxis is a rare disease in which the treatment is basically supportive. Further studies are needed to identify the risk factors, mechanisms of disease and treatment modalities.

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Figures

Figure 1
Figure 1
Leg lesions.
Figure 2
Figure 2
Thighs, hamstrings and leg lesions.
Figure 3
Figure 3
Penile and scrotal necrosis/gangrene.
Figure 4
Figure 4
Leg lesions.
Figure 5
Figure 5
Inner thigh necrotic lesions.
Figure 6
Figure 6
Pelvic and penile artery calcifications.
Figure 7
Figure 7
Absent arterial flow in dorsal penile arteries.
Figure 8
Figure 8
Decreased/absent blood flow in dorsal penile veins.

References

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