Article Text


Systemic calciphylaxis presenting as a painful, proximal myopathy.
  1. C. L. Edelstein,
  2. M. K. Wickham,
  3. P. A. Kirby
  1. Department of Internal Medicine, University of Stellenbosch, Tygerberg, Cape Province, South Africa.


    A renal transplant patient who presented with a painful, proximal myopathy due to systemic calciphylaxis is described. The myopathy preceded the characteristic skin and soft tissue necrosis. Systemic calciphylaxis should be considered in a dialysis or a renal transplant patient presenting with a painful proximal myopathy even in the absence of necrotic skin lesions.

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