Acute Visual Loss and Mesenteric Nodules: Two Case Reports of Atypical Presentations of Calciphylaxis

Introduction: Calciphylaxis is a systemic disease that predominantly affects individuals with chronic kidney disease, particularly in the advanced stages. It is a potentially life-threatening condition with significant morbidity. The exact underlying mechanisms leading to calciphylaxis ar...

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Main Authors: Wu Tzen Lim, Rajiv Juneja, Rachel Yi Ping Tan
Format: Article
Language:English
Published: Karger Publishers 2025-03-01
Series:Case Reports in Nephrology and Dialysis
Online Access:https://karger.com/article/doi/10.1159/000545309
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author Wu Tzen Lim
Rajiv Juneja
Rachel Yi Ping Tan
author_facet Wu Tzen Lim
Rajiv Juneja
Rachel Yi Ping Tan
author_sort Wu Tzen Lim
collection DOAJ
description Introduction: Calciphylaxis is a systemic disease that predominantly affects individuals with chronic kidney disease, particularly in the advanced stages. It is a potentially life-threatening condition with significant morbidity. The exact underlying mechanisms leading to calciphylaxis are not fully understood. Cutaneous manifestations are the typical presentation of calciphylaxis, where patients develop painful skin ulcers affecting their extremities. However, calciphylaxis involving visceral organs are rare. Case Presentations: We present 2 cases where the initial clinical picture of calciphylaxis was atypical. The first case is a haemodialysis patient presenting with unilateral acute vision loss, mimicking giant cell arteritis. The second case is a failed transplant graft recipient on peritoneal dialysis with incidental radiological findings of heavily calcified mesenteric nodules. Conclusion: These cases highlight the importance of a high clinical suspicion of calciphylaxis as it can masquerade other clinical conditions.
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language English
publishDate 2025-03-01
publisher Karger Publishers
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series Case Reports in Nephrology and Dialysis
spelling doaj-art-b0ae733591ed4cca9d8d13adfd64ba132025-08-20T01:51:04ZengKarger PublishersCase Reports in Nephrology and Dialysis2296-97052025-03-01151707710.1159/000545309Acute Visual Loss and Mesenteric Nodules: Two Case Reports of Atypical Presentations of CalciphylaxisWu Tzen LimRajiv JunejaRachel Yi Ping Tan Introduction: Calciphylaxis is a systemic disease that predominantly affects individuals with chronic kidney disease, particularly in the advanced stages. It is a potentially life-threatening condition with significant morbidity. The exact underlying mechanisms leading to calciphylaxis are not fully understood. Cutaneous manifestations are the typical presentation of calciphylaxis, where patients develop painful skin ulcers affecting their extremities. However, calciphylaxis involving visceral organs are rare. Case Presentations: We present 2 cases where the initial clinical picture of calciphylaxis was atypical. The first case is a haemodialysis patient presenting with unilateral acute vision loss, mimicking giant cell arteritis. The second case is a failed transplant graft recipient on peritoneal dialysis with incidental radiological findings of heavily calcified mesenteric nodules. Conclusion: These cases highlight the importance of a high clinical suspicion of calciphylaxis as it can masquerade other clinical conditions. https://karger.com/article/doi/10.1159/000545309
spellingShingle Wu Tzen Lim
Rajiv Juneja
Rachel Yi Ping Tan
Acute Visual Loss and Mesenteric Nodules: Two Case Reports of Atypical Presentations of Calciphylaxis
Case Reports in Nephrology and Dialysis
title Acute Visual Loss and Mesenteric Nodules: Two Case Reports of Atypical Presentations of Calciphylaxis
title_full Acute Visual Loss and Mesenteric Nodules: Two Case Reports of Atypical Presentations of Calciphylaxis
title_fullStr Acute Visual Loss and Mesenteric Nodules: Two Case Reports of Atypical Presentations of Calciphylaxis
title_full_unstemmed Acute Visual Loss and Mesenteric Nodules: Two Case Reports of Atypical Presentations of Calciphylaxis
title_short Acute Visual Loss and Mesenteric Nodules: Two Case Reports of Atypical Presentations of Calciphylaxis
title_sort acute visual loss and mesenteric nodules two case reports of atypical presentations of calciphylaxis
url https://karger.com/article/doi/10.1159/000545309
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