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Ask Doctor Natasha Your Own Question
Doctor Natasha
Doctor Natasha, Emergency Medicine
Category: Urology
Satisfied Customers: 12910
Experience:  American Board Certified in Emergency Medicine- Ivy League trained
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I have just had abdominal calciphylaxis which is now in remission

Customer Question

I have just had abdominal calciphylaxis which is now in remission but has left deep scarring, Would this history automatically deny me a renal transplant? I am in stage 5 renal failure and have been on dialysis for a while
I need to speak with a renal surgeon who is familiar with this disease.

Claire Salway
Submitted: 3 years ago.
Category: Urology
Expert:  Doctor Natasha replied 3 years ago.

Dr. Cameron :

hello

Dr. Cameron :

there is not a renal transplant surgeon on this site

Dr. Cameron :

would you like me to help you?

Dr. Cameron :

Hi I don't see that you are on. But calciphylaxis is not actually a contraindication to transplantation

Dr. Cameron :

It can be a complication, but in some patients, transplantation can cause RESOLUTION of the calciphlyaxis

Dr. Cameron :

Here is a recent case: This is the excerpt: Calciphylaxis, a life-threatening and disabling complication in patients with end-stage renal disease, occurs most frequently in those treated with maintenance dialysis, whether it be hemodialysis or peritoneal dialysis. The impact of kidney transplantation on calciphylaxis lesions is not clear. The general consensus is to treat calciphylaxis adequately prior to transplantation with either medical therapy or parathyroidectomy, as indicated. We describe the case of a patient on peritoneal dialysis therapy who had severe calciphylaxis lesions that failed to resolve upon pretransplantation medical treatment and that then resolved after kidney transplantation.

Dr. Cameron :

http://www.sciencedirect.com/science/article/pii/S0272638613000358

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