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Calciphylaxis

Case Presentation and Review of the Literature

Masoetsa, Richard; A'Groof, Ala; Kapoor, Madan; Messenger, Grace; Hussain, Imtiaz

Journal of Wound Ostomy & Continence Nursing: November/December 2018 - Volume 45 - Issue 6 - p 532–535
doi: 10.1097/WON.0000000000000473
Challenges in Practice

BACKGROUND: Calciphylaxis is a potentially life-threatening condition involving painful necrotic skin ulcerations, especially of the lower extremities. It is generally associated with chronic kidney failure but may be seen in nonuremic cases.

CASE REPORT: We report a case of calciphylaxis in a 60-year-old man with diabetes on dialysis for end-stage renal disease and known to have other typical combination of risk factors associated with calciphylaxis syndrome. On examination, he presented with multiple intensely painful calciphylaxis wounds on his legs and ankles. Despite regular wound management of his condition in our ambulatory care setting, his ulcers deteriorated. The patient's pain also increased and he was referred for hospital admission.

CONCLUSION: This case presentation emphasizes the importance of an interdisciplinary team in the treatment of the complex, life-threatening cutaneous manifestations of calciphylaxis. When indicated, prompt referral to a hospital setting is necessary for appropriate care.

Richard Masoetsa, MPod, Podiatry, Dasman Diabetes Institution, Dasman, Kuwait.

Ala A'Groof, MD, FRCSC, Vascular Surgery, Dasman Diabetes Institution, Dasman, Kuwait.

Madan Kapoor, DM (Nephro); FRCP (EDIN), Nephrology, Dasman Diabetes Institution, Dasman, Kuwait.

Grace Messenger, MRes, Podiatry, Dasman Diabetes Institution, Dasman, Kuwait.

Imtiaz Hussain, BSc Honours, Podiatry, Dasman Diabetes Institution, Dasman, Kuwait.

Correspondence: Richard Masoetsa, MPod, Podiatry, Dasman Diabetes Institution, PO Box 1180, Dasman 15462, Kuwait (richard.masoetsa@dasmaninstitute.org).

© 2018 by the Wound, Ostomy and Continence Nurses Society.