一名使用左心室辅助装置的患者中，结节病相关的高钙血症加重了钙化性尿毒症小动脉病。
Sarcoidosis-associated hypercalcemia potentiating calcific uremic arteriolopathy in a patient with a left ventricular assist device.
作者信息
Hankinson Stephen J, Patel Sonika A, Kesari Vivek, Ramani Gautam V, Ton Van-Khue
机构信息
Division of Cardiovascular Medicine, Department of Medicine, University of Maryland School of Medicine, Baltimore, Maryland.
Division of Nuclear Medicine, Department of Radiology, University of Maryland School of Medicine, Baltimore, Maryland.
出版信息
J Card Surg. 2019 Oct;34(10):1137-1139. doi: 10.1111/jocs.14207. Epub 2019 Aug 7.
Calcific uremic arteriolopathy is a rare, life-threatening syndrome of vascular calcification characterized by occlusion of microvessels that results in extremely painful skin necrosis. We present a case of sarcoidosis-associated hypercalcemia potentiating calcific uremic arteriolopathy in a patient with a left ventricular assist device. The patient's calcific uremic arteriolopathy was successfully treated with sodium thiosulfate. Clinicians should be vigilant in diagnosing calcific uremic arteriolopathy early since it is especially life-threatening in patients with multiple risk factors.
钙化性尿毒症性小动脉病是一种罕见的、危及生命的血管钙化综合征，其特征是微血管闭塞，导致极其疼痛的皮肤坏死。我们报告一例患有左心室辅助装置的患者，结节病相关的高钙血症加重了钙化性尿毒症性小动脉病。该患者的钙化性尿毒症性小动脉病经硫代硫酸钠治疗成功。临床医生应警惕早期诊断钙化性尿毒症性小动脉病，因为它在具有多种危险因素的患者中尤其危及生命。
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