PMC6043165_01
Calciphylaxis of the left upper leg (2012).
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In October 2012 she developed painful, necrotic wounds on both upper legs strongly resembling patches of calciphylaxis (Fig. 1).
Calcification of a small cutaneous artery.
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A skin biopsy showed necrotic fatty tissue and calcium deposits in small and medial arterioles confirming the diagnosis (Fig. 2).
Healed calciphylaxis of the left upper leg (2013).
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A treatment regimen consisting of antibiotics (piperacillin/tazobactam 4000/500mg twice a day), surgical debridement, intensive wound care and daily hemodialysis sessions with the addition of 25 g of sodium thiosulfate resulted in wound healing and total recovery in 2013 (Fig. 3).
Calciphylaxis of the right breast (2017).
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In July 2017, she again presented with painful ulcers, but now covering both breasts (Figs. 4 and 5 ).
Calciphylaxis of the left breast (2017).
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In July 2017, she again presented with painful ulcers, but now covering both breasts (Figs. 4 and 5 ).