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Hyperbaric Oxygen Therapy Improving Penile Calciphylaxis

Calciphylaxis is a rare and poorly understood disease that almost exclusively occurs in end-stage renal disease (ESRD). It is characterized by the calcification of medium and small dermal arterioles with resultant gangrenous necrosis. Patients develop exquisitely painful skin ulceration and necrosis...

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Detalles Bibliográficos
Autores principales: Lipinski, Matthew, Sahu, Nitasa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7426662/
https://www.ncbi.nlm.nih.gov/pubmed/32818121
http://dx.doi.org/10.7759/cureus.9190
Descripción
Sumario:Calciphylaxis is a rare and poorly understood disease that almost exclusively occurs in end-stage renal disease (ESRD). It is characterized by the calcification of medium and small dermal arterioles with resultant gangrenous necrosis. Patients develop exquisitely painful skin ulceration and necrosis, typically in the lower extremities. Treatments are severely limited, and mortality is high, as few treatment options provide a survival benefit. Improvement in a few calciphylaxis cases affecting the extremities or abdomen have been reported using hyperbaric oxygen therapy (HBOT), however, very few have had a favorable response when it affected penile tissue. We present a case of a patient with ESRD on hemodialysis and subtotal parathyroidectomy who had biopsy-proven penile calciphylaxis with refractory pain who ultimately underwent successful HBOT.