Calciphylaxis in a Patient With Non-Hodgkin Lymphoma: Case Report and Literature Review.

Meggie Morand, Myrna Chababi-Atallah, Sara-Élizabeth Jean, Carolina Fernandes

Journal: Journal of cutaneous medicine and surgery 2018;22(5):524-526

PMID: 29478335

Abstract

BACKGROUND

Calciphylaxis is a well-known entity in end-stage kidney disease and after renal transplant. Cases of nonuremic calciphylaxis (NUC) have also been reported, but data on this rare condition are mainly empirical.

OBJECTIVE

We discuss a case of NUC secondary to spontaneous tumour lysis syndrome in a patient who had chemotherapy for non-Hodgkin lymphoma and present a review of the literature to better characterize malignancy-associated NUC.

METHODS

We identified 12 published cases of malignancy-associated NUC.

RESULTS

This systematic review of malignancy-associated NUC did not show a relationship between the type of malignancy, the distribution of skin lesions, or mortality. However, distal more than proximal involvement seems to be more frequently associated with calcium phosphate imbalance.

CONCLUSION

Clinicians must maintain a high index of suspicion for calciphylaxis when evaluating patients with cutaneous lesions developed in the setting of malignancy.

Address: 1 Dermatology Department, Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, QC, Canada.; 2 Pathology Department, Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, QC, Canada.
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