Abstract
Cutaneous calciphylaxis can occur early or late after kidney transplantation. We report a 43-year-old female with end stage renal failure (ESRD) secondary to unknown cause, who was on dialysis for 15 years and received deceased kidney transplant 3 years ago. She had cutaneous calciphylaxis lesions confirmed by biopsy, involving the medial aspect of the thighs bilaterally and a large necrotic ulcer on the posterior aspect of the left thigh. The patient had no classic risk factors. She had subtotal parathyroidectomy but have normal serum calcium, phosphate and parathyroid hormone level. The clinical outcome of this case was favorable and highlights some fundamental issues relating to management.
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