Wenstedt E F E, Huysentruyt C J, Konings C J A M
Department of Internal Medicine, Catharina Hospital Eindhoven, Eindhoven, the Netherlands.
Neth J Med. 2017 May;75(4):161-164.
In contrast with uraemic calciphylaxis in end-stage renal disease, causes of and risk factors for non-uraemic calciphylaxis are relatively unknown to clinicians and have yet to become fully established. This report describes a case of non-uraemic calciphylaxis, in which the use of acenocoumarol might have been a risk factor. It is important to raise awareness about this association among clinicians, as vitamin K antagonists have to be stopped for an optimal treatment of this severe condition.
与终末期肾病中的尿毒症性钙化防御相反,临床医生对非尿毒症性钙化防御的病因和危险因素相对了解较少,尚未完全明确。本报告描述了一例非尿毒症性钙化防御病例,其中使用醋硝香豆素可能是一个危险因素。提高临床医生对这种关联的认识很重要,因为对于这种严重疾病的最佳治疗,必须停用维生素K拮抗剂。