PMC4334332_01
Skin manifestation of calciphylaxis. Left distal leg at the first predialysis visit.
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There was another extensive ulcerative area below and more distal to the previous lesion, toward the medial position, approaching the anterior dorsum of the foot (Figure 1).
Linear calcification of the descending aorta.. Note: Note the Tenckhoff catheter in the abdominal cavity; the X-ray was taken the day after catheter insertion.
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Lateral abdominal X-ray revealed linear calcification of the descending aorta (Figure 2).
Skin manifestation of calciphylaxis. Left distal leg taken 4 months after the initiation of continuous ambulatory peritoneal dialysis.
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The ulcers resolved 2 months after the initiation of dialytic treatment (Figure 3).
Skin manifestation of calciphylaxis. Right distal leg 3 months postcinacalcet treatment (note a large indurated area tender on touch with normal color, indicated by the continuous arrows).
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Three months after the cessation of cinacalcet, multiple indurated, tender, and warm areas of various sizes ranging from 4-9 cm in width appeared on her thighs and below the knees (Figure 4).
Whole-body bone scan.. Note: Subcutaneous Ca deposit observed (arrows) 3 months after the discontinuation of cinacalcet.
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A bone scan of the whole body supported Ca deposits in the subcutaneous tissue (Figure 5).