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Published on: June 2, 2022
Calciphylaxis: a review
Avani Bhambri1, James Q Del Rosso
1Dr. Bhambri is Dermatology Resident, UCLA Division of Dermatology, Los Angeles, California.
Insights
Calciphylaxis is a rare, severe condition causing painful skin ulcers and vascular calcification. Early diagnosis and multidisciplinary treatment are crucial for improving outcomes in this high-mortality disease.
Area of Science:
- Vascular Biology
- Dermatology
- Nephrology
Background:
- Calciphylaxis is a devastating condition characterized by vascular calcification and skin necrosis.
- It has a high mortality rate, exceeding 50% within one year of diagnosis.
- The underlying pathogenesis remains incompletely understood.
Purpose of the Study:
- To summarize the key features of calciphylaxis.
- To highlight diagnostic criteria and treatment modalities.
Main Methods:
- Review of existing literature on calciphylaxis.
- Histopathological analysis of affected tissues.
- Clinical case reviews.
Main Results:
- Calciphylaxis primarily affects the lower extremities.
- Diagnostic hallmark is intravascular calcium deposition in dermal and subcutaneous arterioles.
- High mortality underscores the severity of the condition.
Conclusions:
- Calciphylaxis requires prompt recognition and management.
- Multimodal treatment strategies are essential.
- Further research into pathogenesis is needed.
Abstract:
Calciphylaxis is a condition involving vascular calcification and cutaneous necrosis. The mortality rate is high, with more than 50 percent of patients dying within one year of diagnosis. The exact pathogenesis of calciphylaxis is unclear. Lower extremities are most commonly involved. Intravascular calcium deposition in the media of the dermal and subcutaneous arterioles is the diagnostic histopathologic feature seen. Treatment options include wound care, surgical debridement, sodium thiosulfate, bisphosphonates, and hyperbaric oxygen.
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