激しい大腿外側部痛を主訴に初診したcalciphylaxisの1例―calciphylaxisの特徴について

Calciphylaxis Consulted for Severe Thigh Lateral Pain. Feature of Calciphylaxis. Case Report

　大腿外側部の激しい疼痛にて初診した，末期腎不全患者の約1％程度に発症するとされるcalciphylaxisの1例を経験した．症例は58歳の男性，50歳時に慢性腎不全と診断され，51歳時に腹膜透析（CAPD）を開始，56歳時に，副甲状腺摘出術を施行している症例である．入院後，病態確認のための筋膜切開を行った．しかし創部は徐々に潰瘍化し，会陰部・頭部にも出現した．高圧酸素療法（HBO₂）と対症療法を行ったが，創は治癒しなかった．治療の甲斐なく，発症から149日目に敗血症にて永眠された．

　We experienced one patient of calciphylaxis that occurred about around 1％ of the terminal renal failure patient whom I examined it for severe thigh lateral pain. The case is 58 years old man, he diagnosed as chronic renal failure in 50 years old and started peritoneum dialysis (CAPD) in 51 years old, and operated for parathyroidectomy in 56 years old. After hospitalization, we did a fascia incision for condition confirmation of the pain lesion. However, wound part became an ulcer slowly and appeared on the pubic region, and the head area. We applied a hyperbaric oxygen therapy (HBO₂) and a symptomatic treatment, but the wound did not heal. In spite of such as a treatment, he died for septic shock than the onset on the 149th day .