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Reg Anesth Pain Med · May 2000
Case ReportsCalciphylaxis treated with neurolytic lumbar sympathetic block: case report and review of the literature.
- J A Green, C R Green, and S D Minott.
- Multidisciplinary Pain Center, the Department of Anesthesiology, University of Michigan Health Systems, Ann Arbor 48109, USA.
- Reg Anesth Pain Med. 2000 May 1; 25 (3): 310-2.
Background And ObjectiveCalciphylaxis is a painful complication of end-stage renal disease and secondary hyperparathyroidism. Calcification most commonly affects skin and soft tissue of the lower extremities resulting in excruciatingly painful skin ulcers. Treatment involves correction of hypercalcemia and hyperphosphatemia, parathyroidectomy, and supportive measures.MethodsThe literature and the merits of neurolytic lumbar sympathetic blockade (LSB) for the treatment of pain associated with calciphylaxis are reviewed.ConclusionsThe neurolytic LSB provided pain relief and is a treatment modality to be considered in managing the pain associated with calciphylaxis.
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