Calciphylaxis: Part I. Diagnosis and pathology

Jonathan Rick, Lindsay Strowd, Helena B. Pasieka, Karl Saardi, Robert Micheletti, Megan Zhao, Daniela Kroshinsky, Michi M. Shinohara, Alex G. Ortega-Loayza

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations

Abstract

Calciphylaxis is an uncommon but devastating disorder characterized by vascular calcification and subsequent cutaneous tissue necrosis. This results in exquisitely painful and slow healing wounds that portend exceptionally high morbidity and mortality. The diagnosis of this condition can be complicated because there are no conclusive serologic, radiographic or visual signs that this disease is manifesting. The differential of tissue necrosis is broad, and identifying calciphylaxis requires an adroit understanding of the risk factors and physical signs that should raise suspicion of this condition. Reviews on this subject are uncommon and lack directed commentary from disease experts on the best diagnostic approach for patients suffering from this disease. The goal of this article is to update practicing dermatologists on the current standard of care for calciphylaxis.

Original languageEnglish (US)
Pages (from-to)973-982
Number of pages10
JournalJournal of the American Academy of Dermatology
Volume86
Issue number5
DOIs
StatePublished - May 2022

Keywords

  • calciphylaxis
  • calcium
  • ESRD
  • histopathology
  • uremia
  • vasculopathy

ASJC Scopus subject areas

  • Dermatology

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