Calciphylaxis treated with neurolytic lumbar sympathetic block: case report and review of the literature.

Abstract:

BACKGROUND AND OBJECTIVE:Calciphylaxis is a painful complication of end-stage renal disease and secondary hyperparathyroidism. Calcification most commonly affects skin and soft tissue of the lower extremities resulting in excruciatingly painful skin ulcers. Treatment involves correction of hypercalcemia and hyperphosphatemia, parathyroidectomy, and supportive measures. METHODS:The literature and the merits of neurolytic lumbar sympathetic blockade (LSB) for the treatment of pain associated with calciphylaxis are reviewed. CONCLUSIONS:The neurolytic LSB provided pain relief and is a treatment modality to be considered in managing the pain associated with calciphylaxis.

journal_name

Reg Anesth Pain Med

authors

Green JA,Green CR,Minott SD

doi

10.1016/s1098-7339(00)90018-x

subject

Has Abstract

pub_date

2000-05-01 00:00:00

pages

310-2

issue

3

eissn

1098-7339

issn

1532-8651

pii

S1098-7339(00)90018-X

journal_volume

25

pub_type

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