Skin Necrosis by Luc Téot Sylvie Meaume Sadanori Akita William J. Ennis & Veronique Marmol

Author:Luc Téot, Sylvie Meaume, Sadanori Akita, William J. Ennis & Veronique Marmol
Language: eng
Format: epub
Publisher: Springer Vienna, Vienna

24.3 Direct Cause

The ulcerous form directly linked to ESRD is so-called calciphylaxis or calcified uraemic arteritis. This is a rare ulcerous form often with an inauspicious prognosis, which begins with necrotic cutaneous ulcerations with undefined edges (Fig. 24.4) and can spread extensively (see Chap. 14).

Fig. 24.4Calciphylaxis, typical skin lesion

In a patient with ESRD, it is necessary to carry out a differential diagnosis, especially for the atypical forms that affect the lower limbs [12]. The differential diagnosis in terms of pathologies that must be considered is illustrated in Table 24.2.Table 24.2Differential diagnosis in necrotic lesion on lower limb

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