Calciphylaxis precipitated by ultraviolet light in a patient with end- stage renal disease secondary to systemic lupus erythematosus

Leighton R James, G. Lajoie, D. Prajapati, B. S. Gan, J. M. Bargman

Research output: Contribution to journalArticle

20 Scopus citations

Abstract

Calciphylaxis is a rare and severe calcification syndrome described mainly in patients with end-stage renal disease (ESRD) undergoing dialysis or with a renal transplant. This life-threatening condition is characterized by the abrupt onset of painful ischemic skin ulcers and necrosis. Secondary local and systemic infection may supervene and, without timely and appropriate interventions, calciphylaxis may be fatal. A precipitant or challenging agent is believed to be necessary to initiate the process. We describe a case of a woman with ESRD receiving continuous ambulatory peritoneal dialysis who developed calciphylaxis in the setting of severe hyperparathyroidism after receiving UV photoradiation therapy. We suggest that the UV light served as the challenging agent in the precipitation of this devastating condition.

Original languageEnglish (US)
Pages (from-to)932-936
Number of pages5
JournalAmerican Journal of Kidney Diseases
Volume34
Issue number5
DOIs
Publication statusPublished - Jan 1 1999
Externally publishedYes

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Keywords

  • Calciphylaxis
  • Continuous ambulatory peritoneal dialysis (CAPD)
  • End-stage renal disease (ESRD)
  • Hyperparathyroidism
  • UV light

ASJC Scopus subject areas

  • Nephrology

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