Hoang Kim, Lu Tien, Dang Alex, Matonis Danielle
University of California, Irvine, School of Medicine, Irvine, CA.
University of California, Irvine Health, Department of Emergency Medicine, Orange, CA.
J Educ Teach Emerg Med. 2025 Jul 31;10(3):V27-V30. doi: 10.21980/J8KW8V. eCollection 2025 Jul.
Calciphylaxis is a rare condition that is not well understood but is known to carry significant morbidity and mortality. We present a 44-year-old male with a history of end-stage renal disease on dialysis complaining of increasingly painful chronic wounds. The patient's physical exam was remarkable for ulcerated, bilateral anterior leg wounds with large areas of eschar along with purulent drainage. He was admitted to the hospital for intravenous antibiotics, wound care, and specialist consultation for treatment of calciphylaxis. This case report provides an overview of the key clinical features of calciphylaxis and reviews potential treatment strategies for this life-threatening condition.
Calciphylaxis, chronic kidney disease, end-stage renal disease, wound infection, wound care.
钙过敏是一种罕见病症，目前尚未被充分了解，但已知其具有较高的发病率和死亡率。我们报告一名44岁男性，有终末期肾病透析史，主诉慢性伤口疼痛日益加剧。患者体格检查发现双侧小腿前部有溃疡伤口，大面积焦痂并伴有脓性引流物。他因静脉使用抗生素、伤口护理以及接受钙过敏治疗的专科会诊而入院。本病例报告概述了钙过敏的关键临床特征，并回顾了针对这种危及生命病症的潜在治疗策略。
钙过敏、慢性肾病、终末期肾病、伤口感染、伤口护理。
