Breast pain in a patient on dialysis: a rare manifestation of calcific uraemic arteriolopathy. (9th January 2015)

• Record Type: Journal Article
• Authors: Buscher, Konrad; Gabriëls, Gert; Barth, Peter; Pavenstädt, Hermann
• Is Part Of: BMJ case reports. Volume 2015
• Publication Date: 2015-01-09
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2014-207946
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : 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.