RT Journal Article SR Electronic T1 Breast pain in a patient on dialysis: a rare manifestation of calcific uraemic arteriolopathy JF BMJ Case Reports FD BMJ Publishing Group Ltd SP bcr2014207946 DO 10.1136/bcr-2014-207946 VO 2015 A1 Konrad Buscher A1 Gert Gabriëls A1 Peter Barth A1 Hermann Pavenstädt YR 2015 UL http://casereports.bmj.com/content/2015/bcr-2014-207946.abstract AB A 63-year-old woman presented with progredient bilateral breast pain. Her medical history included rheumatoid arthritis, AA amyloidosis and end-stage renal disease treated by peritoneal dialysis. Inflamed skin alterations of the breast and laboratory values suggested mastitis non-puerpuralis but antibiotics did not resolve the symptoms. Sonography and mammography showed severe vessel calcification suggesting calcific uraemic arteriolopathy (calciphylaxis) as a rare complication of chronic kidney disease. Treatment included intensified haemodialysis, thiosulfate application, analgaesia and wound management leading to significant improvement, however, without complete remission.