Westphal Scott G., Plumb Troy
University of Nebraska Medical Center
Calciphylaxis is a rare but devastating disorder most commonly observed in patients with end-stage renal disease, although it does occasionally develop in patients with acute renal failure, normal renal function, or earlier stages of chronic kidney disease (non-uremic calciphylaxis). Also known as calcific uremic arteriolopathy, it is characterized by painful skin lesions caused by cutaneous arteriolar calcification leading to tissue ischemia and infarction. Calciphylaxis is associated with substantial morbidity due to severe pain, nonhealing wounds, and frequent hospitalizations. It is a highly fatal condition with 1-year mortality rates greater than 50%, most often due to sepsis.
钙过敏是一种罕见但极具破坏性的疾病,最常见于终末期肾病患者,不过在急性肾衰竭、肾功能正常或慢性肾病早期阶段(非尿毒症性钙过敏)的患者中偶尔也会发生。它也被称为钙化性尿毒症小动脉病,其特征是皮肤小动脉钙化导致组织缺血和梗死,进而引起疼痛性皮肤病变。由于剧痛、伤口不愈合以及频繁住院,钙过敏会导致相当高的发病率。这是一种高致死性疾病,1年死亡率超过50%,最常见的死因是败血症。