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Miscellanea
Images in paediatrics
Calciphylaxis in an adolescent without renal failure
  1. Moeinadin Safavi1,
  2. Payman Sadeghi2,3,4,
  3. Shima Hosseinlou1
  1. 1 Pathology Department, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran
  2. 2 Department of Pediatrics, Tehran University of Medical Sciences, Tehran, Iran
  3. 3 Children's Medical Center, Pediatrics Center of Excellence, Tehran, Iran
  4. 4 Pediatric Rheumatology Society of Iran, Tehran, Iran
  1. Correspondence to Dr Moeinadin Safavi, Pathology Department, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran; moein.safavi{at}gmail.com; Dr Shima Hosseinlou, Pathology Department, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran; sh.hosseinlou{at}yahoo.com

https://doi.org/10.1136/archdischild-2022-324345

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    The patient was a 15-year-old male adolescent with painful and pruritic erythematous indurated nodules on his legs and hands that progressed to ulcerated lesions over 1 month (figure 1). The patient had medical history of juvenile idiopathic arthritis, hypothyroidism and hyperphosphatemia. He was treated with prednisolone, methotrexate, levothyroxine and sevelamer carbonate.

    Figure 1

    Ulcerated lesions on the lower extremity.

    Laboratory tests (complete blood count, biochemical tests, blood complement level, liver function …

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    Footnotes

    • Contributors MS and SH wrote the manuscript in consultation with PS.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.