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BMJ Case Reports 2009; doi:10.1136/bcr.09.2008.0880
  • Unusual association of diseases/symptoms

Calciphylaxis associated with widespread pulmonary calcification

  1. Tarvinder Singh Dhanjal,
  2. Suresh B Babu,
  3. Gareth Beevers,
  4. Robin E Ferner
  1. City Hospital, University Department of Medicine, Dudley Road, Birmingham B18 7QH, UK
  1. Tarvinder Singh, t.s.dhanjal{at}bham.ac.uk
  • Published 20 March 2009

Summary

We report a patient with Crohn’s disease and end-stage renal failure, which resulted in severe vitamin D deficiency and hyperparathyroidism. This resulted in the development of calciphylaxis, which initially manifested as pulmonary vasculature calcification; however, the diagnosis was not clear until the classic skin lesions had developed. Calciphylaxis is a rare condition, which is increasing in incidence, and a high index of suspicion is essential for early diagnosis and treatment. This condition is associated with a high degree of morbidity and mortality and, indeed, our patient died within 7 days of diagnosis.

Footnotes

  • Competing interests: none.

  • Patient consent: Patient/guardian consent was obtained for publication.

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