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A Case Report Comparing Various Radiological Tests in the Diagnosis of Calcific Uremic Arteriolopathy Wissam Bleibel, MD, Bora Hazar, MD, Richard Herman, MD American Journal of Kidney Diseases Volume 48, Issue 4, Pages (October 2006) DOI: /j.ajkd Copyright © 2006 National Kidney Foundation, Inc. Terms and Conditions
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Fig 1 (A) Elongated black necrotic plaques and ulcers with eschar that developed in a 67-year-old patient with chronic kidney disease. These lesions are painful, tender, and surrounded by erythema and induration. (B) Skin and subcutaneous tissue biopsy slides from the margins of the ulcers show classic findings of CUA, with calcium deposits (thick arrows) in media of small- and medium-sized arteries with intimal hyperplasia and occlusion of some arteries (thin arrows). (Original magnification ×40.) (C) Higher magnification of the intimal hyperplasia with calcifications and an intraluminal thrombus. (Original magnification ×400.) (D) Calf x-ray using mammography technique shows diffuse calcifications of arterioles in a mesh-like pattern. (E) Soft-tissue x-rays showed very few calcified vessels, whereas 3D reconstructed CT images of the affected extremities (F, G) showed some calcified small- and medium-sized arterioles. (H) Mammography image of the calf of a patient who has been on hemodialysis therapy for 27 years and does not have CUA. American Journal of Kidney Diseases , DOI: ( /j.ajkd ) Copyright © 2006 National Kidney Foundation, Inc. Terms and Conditions
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