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Article Synopsis
  • * Skin biopsies confirmed both nephrogenic systemic fibrosis and calciphylaxis, despite the patient never having been exposed to gadolinium-based contrast agents.
  • * Despite receiving treatment that included daily dialysis and sodium thiosulfate, he rapidly deteriorated and passed away within two weeks due to complications from hospital-acquired pneumonia.
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Calciphylaxis is a rare, yet underdiagnosed condition causing high mortality in patients with severe renal and cardiovascular disease. Since knowledge of the pathophysiology of calciphylaxis is limited, a differential analysis of histological alterations in patient subgroups with various comorbidities might expose different disease phenotypes and allow deeper insights into the pathophysiology of the condition. Histological markers of osteogenesis and calcification were investigated in a group of 18 patients with clinically and histologically verified calciphylaxis, using immunohistochemical staining.

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The Multifactorial Pathogenesis of Calciphylaxis: A Case Report.

Am J Case Rep

June 2021

Department of Nephrology, Transplantology and Internal Medicine, Pomeranian Medical University, Szczecin, Poland.

BACKGROUND Calciphylaxis is a rare and lifethreatening syndrome characterized by small vascular calcifications, which lead to the occlusion of blood vessels and painful skin lesions with tissue necrosis. Although the disease can develop in a population without kidney failure, it is typically detected in patients receiving dialysis, with an increasing frequency ranging from 1% to 4%. Therefore, the disease is also known as calcific uremic arteriolopathy.

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