Successful Treatment of Severe Calciphylaxis in a Hemodialysis Patient Using Low‐Calcium Dialysate and Medical Parathyroidectomy: Case Report and Literature Review
Hsiann‐Yih Wang, Chen‐Chun Yu, Chiu‐Ching Huang
Abstract
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Hsiann‐Yih Wang, Chen‐Chun Yu, Chiu‐Ching Huang
Abstract
Open-access reader
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.
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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.
Key concepts: Calciphylaxis, Medicine, Parathyroidectomy, Hemodialysis, Calcium, Intensive care medicine, Nephrology, Internal medicine