Baethge B A, Sanusi I D, Landreneau M D, Rohr M S, McDonald J C
Department of Medicine, LSUMC, Shreveport 71130-3932.
Arthritis Rheum. 1988 Sep;31(9):1199-203. doi: 10.1002/art.1780310919.
We describe a 38-year-old man who developed livedo reticularis and peripheral gangrene after bilateral nephrectomy. Pathologic evaluation revealed extensive crystalline deposits within the walls of subcutaneous blood vessels. The diagnosis of primary hyperoxaluria was established. This case demonstrates that the vasculopathy of primary oxalosis can mimic systemic necrotizing vasculitis.
我们描述了一名38岁男性，其在双侧肾切除术后出现网状青斑和外周坏疽。病理评估显示皮下血管壁内有广泛的晶体沉积。原发性高草酸尿症的诊断得以确立。该病例表明原发性草酸中毒的血管病变可酷似系统性坏死性血管炎。
