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Photoletter to the editor - Calciphylaxis: a diagnostic and therapeutic challenge.

Abstract
Calciphylaxis is an uncommon necrotizing dermal condition, most often related to end-stage renal disease, associated with secondary hyperparathyroidism. The incidence is 1-4% per year in dialyzed patients. The condition is characterized by microcalcification of small and medium-sized blood vessels, causing cutaneous and soft tissue necrosis. The etiology of calciphylaxis is poorly understood, although many reports highlight the abnormal calcium-phosphate products as an important etiological factor. Calciphylaxis is associated with significant morbidity and mortality with estimated 5-year survival rates of less than 50%. Sepsis is the main cause of death. We report two patients of calciphylaxis treated with surgical debridement and excellent outcome in both cases.
AuthorsHugo Marques Barreiros, João Goulão, Henriqueta Cunha, Elvira Bártolo
JournalJournal of dermatological case reports (J Dermatol Case Rep) Vol. 7 Issue 2 Pg. 69-70 (Jun 30 2013) ISSN: 1898-7249 [Print] Poland
PMID23858346 (Publication Type: Journal Article)

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