Cutaneous Gangrene, Vascular Calcification, and Hyperparathyroidism

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Presentation transcript:

Cutaneous Gangrene, Vascular Calcification, and Hyperparathyroidism DAVID A. MEHREGAN, M.D., RICHARD K. WINKELMANN, M.D., Ph.D. Mayo Clinic Proceedings Volume 64, Issue 2, Pages 211-215 (February 1989) DOI: 10.1016/S0025-6196(12)65675-4 Copyright © 1989 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 1 A, Purpuric and necrotic plaques on legs of 72-year-old man with chronic renal failure. B, Progression of cutaneous gangrene to thighs. Mayo Clinic Proceedings 1989 64, 211-215DOI: (10.1016/S0025-6196(12)65675-4) Copyright © 1989 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 2 Roentgenogram of leg, showing calcification of small cutaneous vessels. Mayo Clinic Proceedings 1989 64, 211-215DOI: (10.1016/S0025-6196(12)65675-4) Copyright © 1989 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 3 Ultrasonogram of neck, showing oval structure (1.5 by 0.7 cm) consistent with inferior parathyroid adenoma. Mayo Clinic Proceedings 1989 64, 211-215DOI: (10.1016/S0025-6196(12)65675-4) Copyright © 1989 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 4 Photomicrograph of biopsy specimen from edge of ulcer, demonstrating deposition of calcium within panniculus. (Hematoxylin and eosin; × 40.) Mayo Clinic Proceedings 1989 64, 211-215DOI: (10.1016/S0025-6196(12)65675-4) Copyright © 1989 Mayo Foundation for Medical Education and Research Terms and Conditions