Background: Calciphylaxis (calcific uremic arteriolopathy) is rare and its pathogenesis is not fully understood.\r\nIndeed, Calciphylaxis presents a challenge through the course of its management which involve different\r\nspecialities but unfortunately this disease so far has a poor prognosis. We herein present, in this case report, a\r\nmultidisciplinary approach involving plastic surgeons with special regards to reconstructive approach after\r\ndebridement procedures.\r\nCase presentation: We present a 21 years old male with a BMI of 38,2, who was transferred to our department\r\nfrom another hospital. Calciphylaxis has been diagnosed after receiving anticoagulation with phenprocoumon after\r\na single event of pulmonary embolism. The INR on admission was 1,79. He had necrotic spots on both sides of the\r\nabdominal wall and on both thighs medially. During this time he underwent several reconstructive procedures in\r\nour department.\r\nConclusion: It can be suggested that this agonizing disease needs indeed a multidisciplinary approach involving\r\nNephrologists, Dermatologists, Intensive Care Physicians and Plastic Surgeons, taking into consideration that surgical\r\ncorrection can achieve further improvement in a specialized centre. Notwithstanding, further cohort studies should\r\nbe approached clinically to insight the light on this disease with special regard to the prognosis after this approach
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