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"textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 70-year-old man with a history of kidney transplantation due to chronic kidney disease secondary to ischemic nephropathy was admitted for a painful ulcer in the right leg that started 3 months earlier. The examination of the right leg revealed an ulcerative lesion with a fibrinous base, along with areas of necrosis. Palpation caused induration and pain, both in the lesions and perilesional skin (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). With the diagnosis of suspected calciphylaxis, a skin biopsy was performed at the edge of the ulcer, which confirmed the diagnosis (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Calciphylaxis is an uncommon disease, characterized by cutaneous ischemia and necrosis produced by the calcification of small and medium blood vessels, which results in skin ulceration and the formation of sores. The condition typically affects patients with end-stage renal failure and secondary hyperparathyroidism and is also associated with cirrhosis, Crohn's disease and kidney transplantation, as in our case.</p><p id="par0015" class="elsevierStylePara elsevierViewall">In terms of treatment, the therapeutic options are limited and consist mostly of support measures. Depending on the context, the following options are worth noting: low-calcium dialysis, low-phosphate diet, localized care, prevention and treatment of infections, phosphorus chelators and parathyroidectomy.</p></span>"
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