Leg calciphylaxis

Case contributed by Dr Victor Tang

Presentation

8 week history of progressive thickening and hardening of bilateral lower limb skin and calves. Associated tenderness of lower limbs. History of end-stage renal disease on peritoneal dialysis.

Patient Data

Age: 58
Gender: Male
X-ray

Leg Xray

Dense arterial calcification bilaterally.

Soft tissue calcification of anterior, posterior, medial and lateral compartments of both legs.

Case Discussion

Skin biopsy confirmed changes consistent with calciphylaxis.

The patient had good symptomatic improvement after treatment with intraperitoneal sodium thiosulfate.

 

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Case information

rID: 57915
Published: 22nd Jan 2018
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

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