Arterial Calcification and Gangrene in Uremia

Abstract

CHRONIC renal failure is often accompanied by metastatic calcification. In the two uremic patients described below severe arterial calcification and extensive gangrene of the upper extremities developed.Case ReportCase 1. R.L., a 29-year-old man, was first hospitalized because of fatigue, hypertension and uremia. He gave a 10-year history of proteinuria. Wrist pulses were normal. For 6 months he received intermittent peritoneal dialysis. He was then readmitted to the hospital because of severe pain in the right thumb and left 4th and 5th fingers.Examination was within normal limits except for peripheral edema, a blood pressure of 150/110 and the . . .