A Case of Early Calciphylaxis Diagnosed by Bone Scan
Jia Di1, Yuqiu Liu2, Dongyan Wang1
1Nephrology, Department of Nephrology, Changzhou First People's Hospital, Changzhou, China.
Case Reports in Medicine
|April 8, 2020
Summary
Calciphylaxis, a rare vascular disease, can be diagnosed noninvasively using Tc-99m MDP bone scans. This imaging technique aids in assessing disease involvement in muscles and organs, complementing traditional diagnostic methods.
Area of Science:
- Nephrology
- Radiology
- Pathology
Background:
- Calciphylaxis is a rare, severe small vessel disease often linked to uremia and calcium dysregulation.
- Current diagnosis relies on clinical presentation, risk factors, and often invasive skin biopsy.
- Noninvasive diagnostic tools for calciphylaxis are actively being researched.
Observation:
- This report details a confirmed case of calciphylaxis.
- The study highlights the imaging findings of Tc-99m MDP bone scintigraphy in this patient.
- Bone scintigraphy demonstrated characteristic uptake patterns associated with calciphylaxis.
Findings:
- Tc-99m MDP bone scan imaging revealed specific patterns indicative of calciphylaxis.
- The findings suggest bone scintigraphy's utility in diagnosing calciphylaxis.
- This noninvasive method showed potential for evaluating extra-cutaneous involvement, including muscles and organs.
Implications:
- Bone scintigraphy offers a promising noninvasive adjunct for calciphylaxis diagnosis.
- This imaging modality may improve the assessment of disease extent and severity.
- Further research into noninvasive diagnostic tools like bone scans is crucial for managing calciphylaxis.


