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Case Reports: Unusual presentation of more common disease/injury
Calcific uraemic arteriolopathy presenting as cellulitis of the dorsal foot
  1. Samuel Ficenec,
  2. Brittany Gerstein and
  3. Christopher Dale Shamburger
  1. Department of Internal Medicine, Tulane University School of Medicine, New Orleans, Louisiana, USA
  1. Correspondence to Dr Samuel Ficenec; sficenec{at}tulane.edu

Abstract

Calcific uraemic arteriolopathy (CUA) is a rare and poorly understood entity that typically presents with painful lesions affecting adipose-rich areas of the lower extremities. We report an unusual case of CUA presenting as presumed cellulitis of the dorsal surface of the distal lower extremity with acute development of a bullous lesion. As CUA incidence is predicted to increase due to its relationship with end-stage renal disease, recognising the full clinical spectrum of this disease is essential to promote further understanding of this disorder and exploration of additional therapeutics to limit disease morbidity and mortality.

  • Calcium and bone
  • Infectious diseases
  • Renal medicine
  • Dialysis

https://doi.org/10.1136/bcr-2022-251758

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    Footnotes

    • Contributors SF contributed to the original drafting, revisions, editing and formatting of the article; was responsible for submission, data collection, analysis and figure creation; agreed to submit this article for submission and had final approval of the article to submit for publication. BG contributed to the original drafting, revisions, editing and formatting of the article; contributed to gathering clinical data and research articles to review in creation of the article; contributed to data collection, data management and data analysis; had agreed to submit this article for submission and had final approval of the article to be submitted. CDS contributed to the original drafting, revisions, editing and formatting of this article; contributed to data collection; was responsible for the original article proposal and design of this article; was clinically responsible for the care of the patient discussed in this article; had agreed to submit this article for submission and had final approval of the article to be submitted. All the authors of this manuscript have seen and approved the final version of this manuscript.

    • 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.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

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