Tangkham Ranchana, Sangmala Siripan, Aiempanakit Kumpol, Chiratikarnwong Kanokphorn, Auepemkiate Sauvarat
Department of Family Medicine and Preventive Medicine, Faculty of Medicine, Prince of Songkla University, Hat Yai, 90110 Songkhla, Thailand.
Division of Dermatology, Department of Internal Medicine, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand.
IDCases. 2019 Jul 11;18:e00594. doi: 10.1016/j.idcr.2019.e00594. eCollection 2019.
Calciphylaxis is a rare cutaneous disease that may cause fatal complications in patients on long-term dialysis. Early diagnosis and proper management decrease complications. However, it can mimic cutaneous infections, especially ecthyma gangrenosum and cutaneous vasculitis. The authors report on a patient with chronic kidney disease (CKD) on dialysis for 10 years who developed painful skin necrosis on his right thigh. The tissue culture was positive for , but the histopathology was compatible with calciphylaxis. This report aims to further the knowledge of physicians in order to help them recognize calciphylaxis in CKD patients with painful necrotic ulcers.
钙过敏症是一种罕见的皮肤疾病，可能会在长期透析的患者中引发致命并发症。早期诊断和恰当处理可减少并发症。然而，它可能会与皮肤感染相似，尤其是坏疽性脓皮病和皮肤血管炎。作者报告了一名患有慢性肾脏病（CKD）且已透析10年的患者，其右大腿出现了疼痛性皮肤坏死。组织培养结果为阳性，但组织病理学结果与钙过敏症相符。本报告旨在增进医生的认识，以帮助他们识别患有疼痛性坏死性溃疡的CKD患者中的钙过敏症。
