Arteriolopatía calcificante urémica / Uremic calcifying arteriopathy
Rev. cuba. med
; 50(2): 209-215, abr.-jun. 2011.
Article
in Es
| LILACS
| ID: lil-615426
Responsible library:
CU1.1
RESUMEN
La arteriolopatía calcificante urémica es una complicación poco frecuente de la enfermedad renal crónica y se asocia con elevada tasa de mortalidad. A propósito se describió el caso clínico de un hombre de 59 años de edad, con insuficiencia renal crónica terminal que se hallaba en programa de hemodiálisis convencional, en régimen de 3 veces/semana, desde el año 2007. Se le diagnosticó arteriolopatía calcificante urémica grave tras sospecha clínica y biopsia de lesiones cutáneas, con un desenlace fatal. Reconocemos que se requiere un alto índice de sospecha clínica para su diagnóstico precoz y no siempre se asocia a hiperparatiroidismo secundario grave, en su patogenia se imbrican múltiples factores
ABSTRACT
The calcifying arteriolopathy is an uncommon complication of chronic renal disease and it is associated with a high rate of mortality. Authors present the clinical case of a man aged 59 presenting with terminal chronic renal failure under a three times/week conventional hemodialysis program from 2007. He was diagnosed with a severe uremic calcifying arteriolopathy after a clinical suspicion and biopsy of cutaneous lesions with a fatal outcome. It is recognized that it is necessary a high rate of clinical suspicion for its early diagnosis and not always it is associated with a severe secondary hyperparathyroidism where multiple factors are involved in its pathogenesis
Key words
Full text:
1
Index:
LILACS
Main subject:
Panniculitis
/
Renal Dialysis
/
Skin Diseases, Vascular
/
Renal Insufficiency, Chronic
Type of study:
Screening_studies
Limits:
Adult
/
Humans
/
Male
Language:
Es
Journal:
Rev. cuba. med
Journal subject:
MEDICINA
Year:
2011
Type:
Article