We are describing a case of 55-year-old obese female with significant history of uncontrolled rheumatoid arthritis, who recently had decreased her immune-suppression medications. She presented with extensive acral gangrene involving multiple fingers and toes. Clinical picture and laboratory findings were suggestive of vasculitis; however, skin biopsy established diagnosis of calciphylaxis, in settings of normal kidney function. Patient was treated with sodium thiosulfate with gradual improvement in her skin lesions.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3841481 | PMC |
| http://dx.doi.org/10.4103/2231-0770.120504 | DOI Listing |
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