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Calciphylaxis of the fingers
Ko Harada1, Jo Araki1, Kazuki Tokumasu1
1Department of General Medicine Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences Okayama Japan.
Journal of General and Family Medicine
|March 13, 2020
Summary
Calciphylaxis, a rare condition causing painful finger necrosis, was diagnosed in a hemodialysis patient. Severe arterial calcification on X-ray confirmed the condition in this case of end-stage renal disease.
Area of Science:
- Vascular Medicine
- Nephrology
- Dermatology
Background:
- Calciphylaxis is a severe complication in patients with end-stage renal disease (ESRD).
- It often presents as painful skin necrosis, particularly in the extremities.
- Hemodialysis is a common risk factor for calciphylaxis.
Purpose of the Study:
- To report a case of calciphylaxis presenting as painful finger necrosis.
- To highlight the diagnostic utility of plain radiography in identifying arterial calcification.
Main Methods:
- A case study of a 69-year-old Japanese man undergoing hemodialysis for ESRD.
- Clinical presentation of painful finger necrosis.
- Radiographic examination of the right hand.
Main Results:
- The patient exhibited painful necrosis of the fingers on his right hand.
- Plain radiography revealed severe arterial calcification, especially in the ring finger.
- These findings were consistent with a diagnosis of calciphylaxis.
Conclusions:
- Calciphylaxis should be considered in hemodialysis patients with peripheral necrosis.
- Radiographic evidence of arterial calcification can support the diagnosis of calciphylaxis.
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