A Case of Penile Calciphylaxis in a Hemodialysis Patient

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  • ITO Takuya
    The Department of Urology, Japan Community Health Care Organization Osaka Hospital
  • AOKI Katsunori
    The Department of Nephrology, Japan Community Health Care Organization Osaka Hospital
  • YAMAGUCHI Yuichiro
    The Department of Urology, Japan Community Health Care Organization Osaka Hospital
  • SHIKATA Yuko
    The Department of Nursing, Japan Community Health Care Organization Osaka Hospital
  • YOSHIDA Yasuyuki
    The Department of Clinical Pathology, Japan Community Health Care Organization Osaka Hospital
  • TAKEHARA Yuki
    The Department of Dermatology, Japan Community Health Care Organization Osaka Hospital
  • FUJIMOTO Nobumasa
    The Department of Urology, Japan Community Health Care Organization Osaka Hospital

Bibliographic Information

Other Title
  • 血液透析患者に発生した陰茎カルシフィラキシスの1例
  • ケツエキ トウセキ カンジャ ニ ハッセイ シタ イン ケイ カルシフィラキシス ノ 1レイ

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Abstract

In the present case of a 56-year-old male, hemodialysis was introduced from December 20XX-2 due to chronic renal failure caused by diabetic nephropathy. In February 20XX, a glans penis ulcer was observed. It gradually expanded. Angiography conducted in April revealed complete occlusion of the left internal pudendal artery and poor visualization of the bilateral penile arteries. Given the high risk of obstruction, endovascular treatment was not conducted. The glans penis ulcer continued to expand, and maintenance dialysis became difficult due to intractable pain. Opioids were introduced, but the pain could not be controlled. In May 20XX, the patient was referred to our department for surgical treatment, and partial penile resection was performed. The patient was diagnosed with penile calciphylaxis based on clinical findings and pathological diagnosis. After the surgery, the pain subsided considerably, and the patient is being followed on an out-patient basis.

Journal

  • 泌尿器科紀要

    泌尿器科紀要 69 (6), 163-167, 2023-06-30

    泌尿器科紀要刊行会

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