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Year : 2013  |  Volume : 3  |  Issue : 4  |  Page : 109-111

Acral gangrene as a presentation of non-uremic calciphylaxis

Department of Internal Medicine, Cleveland Clinic, Cleveland, Ohio, United States

Correspondence Address:
Prashant Sharma
Cleveland Clinic Main Campus, 9500 Euclid Avenue, Cleveland, OH 44195
United States
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2231-0770.120504

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We are describing a case of 55-year-old obese female with significant history of uncontrolled rheumatoid arthritis, who recently had decreased her immune-suppression medications. She presented with extensive acral gangrene involving multiple fingers and toes. Clinical picture and laboratory findings were suggestive of vasculitis; however, skin biopsy established diagnosis of calciphylaxis, in settings of normal kidney function. Patient was treated with sodium thiosulfate with gradual improvement in her skin lesions.

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