Cinacalcet as first-line treatment for calciphylaxis.

نویسندگان

  • Valérie Pallure
  • Christelle Comte
  • Hélène Leray-Mouragues
  • Olivier Dereure
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recently been drawn to the possible interest of einacalcet. a calcimimetic drug that increases the sensitivity of PTH-secreting cells to extracellular calcium, resulting in a decrease of PTH production. This molecule is currently routinely used in end-stage renal failureassociated secondary hyperparathyroidism (4) and its efficiency in calciphylaxis has already been reported in two patients, in...

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Cinacalcet for the treatment of calciphylaxis.

Calciphylaxis is characterized by cutaneous ischemia and necrosis and is associated with a very high mortality rate. It usually affects patients who are undergoing dialysis or who have received a kidney transplant. There is no optimal treatment, but parathyroidectomy has shown some benefit. We report herein a case of a patient with calciphylaxis and secondary hyperparathyroidism who was success...

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Regression of vascular calcification following an acute episode of calciphylaxis: a case report

INTRODUCTION In clinical situations, vascular calcification tends to progress and is difficult to completely arrest or reverse. Calciphylaxis, a severe complication of end-stage renal disease, is a specific form of vascular calcification. Control studies have provided evidence that monotherapy with sodium thiosulfate or cinacalcet delays the progression of vascular calcification. Successful tre...

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Calciphylaxis in end-stage renal disease prior to dialytic treatment: a case report and literature review

INTRODUCTION Calciphylaxis is a rare medical condition that is usually diagnosed in patients suffering from end-stage renal disease who are already receiving renal replacement therapy and in those post-transplantation. The pathogenesis still remains to be fully elucidated; hence, the treatment is not uniform. The prognosis is generally poor. The ulcerative stage exhibits a worse prognosis than ...

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Multi-modal treatment of calciphylaxis with sodium-thiosulfate, cinacalcet and sevelamer including long-term data.

BACKGROUND Calciphylaxis is a rare, yet life-threatening disease mainly occurring in dialysis patients. Traditional options of treatment remain unsatisfactory. METHODS Here we present a novel, combined approach, treating calciphylaxis with IV sodium thiosulfate, cinacalcet and sevelamer. In a case series five hemodialysis patients, have been successfully treated with this regimen. Treatment a...

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عنوان ژورنال:
  • Acta dermato-venereologica

دوره 88 1  شماره 

صفحات  -

تاریخ انتشار 2008