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Concurrent development of encapsulating peritoneal sclerosis and calciphylaxis in a patient with peritoneal dialysis for end-stage renal disease
  1. Khine Myat Win1,
  2. Rute Castelhano2 and
  3. Tanaji Dasgupta3
  1. 1Trauma and Orthopaedics, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
  2. 2Emergency General Surgery, Manchester Royal Infirmary, Manchester, UK
  3. 3Swindon Renal Unit, Great Western Hospital Foundation NHS Trust, Swindon, UK
  1. Correspondence to Dr Khine Myat Win; khinemyat.win{at}nhs.net

Abstract

Both encapsulating peritoneal sclerosis (EPS) and calciphylaxis are rare but severe complications involving patients with end-stage renal disease. In this report, we discuss a unique case of a 73-year-old female patient who had undergone 8 years of peritoneal dialysis for IgA nephropathy and concurrently developed these two synchronous complications within 3 months of each other. Diagnosis and management of both conditions were discussed in detail as well as the possible association between the two. With surgical treatment for EPS and measures to minimise bone mineral disorder abnormalities, both complications have been successfully managed to date.

  • renal medicine
  • chronic renal failure
  • dialysis

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Footnotes

  • Contributors KMW, RC and TD wrote the case report. TD provided input on the scientific content and rationale for this case report.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.