Spiers E M, Sanders D Y, Omura E F
Department of Dermatology, University of Alabama, Birmingham.
J Am Acad Dermatol. 1990 May;22(5 Pt 2):952-6. doi: 10.1016/0190-9622(90)70133-3.
Primary oxalosis should be considered in patients with multisystem disease of the kidneys, heart, peripheral vasculature, and skin. Crystalline deposits can lead to nephrolithiasis with kidney failure, complete heart block, peripheral vasospasm, and livedo reticularis, as in our patient. Crystals were first observed in the myocardial biopsy specimen and then identified as calcium oxalate in skin from an area of livedo reticularis.
对于患有肾脏、心脏、外周血管和皮肤多系统疾病的患者，应考虑原发性草酸中毒。结晶沉积物可导致肾结石并伴有肾衰竭、完全性心脏传导阻滞、外周血管痉挛和网状青斑，就像我们的患者那样。晶体首先在心肌活检标本中被观察到，然后在网状青斑区域的皮肤中被鉴定为草酸钙。
