Case ReportMulti-intervention Management of Calciphylaxis: A Report of 7 Cases
Section snippets
Case Reports
St Paul's Hospital is a tertiary-care teaching hospital in Vancouver, Canada. The nephrology group cares for 450 hemodialysis (HD) and 150 peritoneal dialysis (PD) patients and a large group of patients with chronic kidney disease and transplant patients. All HD patients receive at least thrice-weekly 4-hour dialysis sessions, and all PD patients have Kt/V values >2.0. Suspected cases of CUA undergo biopsy on site, read by a trained dermatopathologist. Patients with biopsy-proven CUA in
Discussion
We present the outcomes of patients treated with a prespecified multi-interventional approach to CUA. We systematically introduced the regimen into clinical practice and evaluated outcomes objectively. Results presented here are substantially better (86%) than those in the literature (<20%).2, 3 The only patient who did not recover had several confounding issues related to her premorbid condition. The remaining 6 recovered completely and continued on HD therapy without recurrence. The mainstays
Acknowledgements
Support: None.
Financial Disclosure: The authors declare that they have no relevant financial interests.
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Originally published online August 29, 2011.