RESUMEN
Although traditionally observed in patients with end-stage renal disease and secondary hyperparathyroidism, calciphylaxis has been reported in patients with normal renal and parathyroid function. There is no evidence-based therapy available. The use of sodium thiosulfate (STS) has been increasingly described. Herein we describe two patients who responded well to this treatment.
Asunto(s)
Calcifilaxia/tratamiento farmacológico , Tiosulfatos/uso terapéutico , Acenocumarol/efectos adversos , Acenocumarol/uso terapéutico , Anciano , Anciano de 80 o más Años , Fibrilación Atrial/tratamiento farmacológico , Fibrilación Atrial/epidemiología , Calcifilaxia/diagnóstico , Calcifilaxia/epidemiología , Calcifilaxia/etiología , Comorbilidad , Diabetes Mellitus Tipo 2/epidemiología , Sustitución de Medicamentos , Femenino , Heparina de Bajo-Peso-Molecular/uso terapéutico , Humanos , Hiperparatiroidismo Secundario/complicaciones , Livedo Reticularis/epidemiología , Obesidad/epidemiología , Enfermedades Vasculares Periféricas/epidemiología , Factores de Riesgo , Choque Séptico/etiología , Tiosulfatos/farmacología , Infecciones Urinarias/complicaciones , Deficiencia de Vitamina D/complicacionesRESUMEN
Localized bullous pemphigoid occurs in less than one-third of the cases of bullous pemphigoid and it usually appears on the shins. Localized bullous pemphigoid around a stoma site is very uncommon, with few reports in the literature. We report a case of localized bullous pemphigoid at urostomy site and we review its main characteristics. We highlight the importance of considering bullous pemphigoid in chronic bullous lesions on peristomal skin.