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Penile calcific uremic arteriolopathy occurring post-parathyroidectomy in a hemodialysis patient
Joint Authors
Umar, Haydar A.
Mursi, Muhammad D.
Bashir, Salah Umar
Amir, Mahmud A.
Source
Saudi Journal of Kidney Diseases and Transplantation
Issue
Vol. 27, Issue 6 (31 Dec. 2016), pp.1265-1269, 5 p.
Publisher
Saudi Center for Organ Transplantation
Publication Date
2016-12-31
Country of Publication
Saudi Arabia
No. of Pages
5
Main Subjects
Topics
Abstract EN
Calcific uremic arteriolopathy (CUA), also known as calciphylaxis, is a rare condition most frequently seen in patients with advanced chronic kidney disease.
The clinical picture is characterized by painful skin lesions and ulcerations.
The underlying pathology is medial calcification and intimal proliferation with microthrombi of small arteries.
CUA is commonly associated with secondary hyperparathyroidism and high serum calcium and phosphate products.
This article reports an atypical case where CUA developed after parathyroidectomy and in the course of treatment of hungry bone syndrome.
The patient was on hemodialysis for 14 years.
He had developed secondary hyperparathyroidism and severe osteodystrophy.
Calcium, Vitamin-D supplements, and calcimimetics failed to control his condition.
He underwent parathyroidectomy but developed hungry bone syndrome post- operatively.
He was managed with large doses of calcium and active Vitamin-D analogs to maintain his serum calcium.
Two weeks later, he developed a painful single lesion on the tip of the penis which was diagnosed as CUA on clinical and radiographic evidence.
The patient refused surgical intervention and opted for traditional treatment with honey and herbs with an excellent outcome.
The case highlights the risk of CUA complicating the aggressive management of post-parathyroidectomy hungry bone syndrome.
American Psychological Association (APA)
Bashir, Salah Umar& Amir, Mahmud A.& Umar, Haydar A.& Mursi, Muhammad D.. 2016. Penile calcific uremic arteriolopathy occurring post-parathyroidectomy in a hemodialysis patient. Saudi Journal of Kidney Diseases and Transplantation،Vol. 27, no. 6, pp.1265-1269.
https://search.emarefa.net/detail/BIM-717298
Modern Language Association (MLA)
Bashir, Salah Umar…[et al.]. Penile calcific uremic arteriolopathy occurring post-parathyroidectomy in a hemodialysis patient. Saudi Journal of Kidney Diseases and Transplantation Vol. 27, no. 6 (Nov. / Dec. 2016), pp.1265-1269.
https://search.emarefa.net/detail/BIM-717298
American Medical Association (AMA)
Bashir, Salah Umar& Amir, Mahmud A.& Umar, Haydar A.& Mursi, Muhammad D.. Penile calcific uremic arteriolopathy occurring post-parathyroidectomy in a hemodialysis patient. Saudi Journal of Kidney Diseases and Transplantation. 2016. Vol. 27, no. 6, pp.1265-1269.
https://search.emarefa.net/detail/BIM-717298
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 1269
Record ID
BIM-717298