Caso Clínico: Calcifilaxis de pene

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RESUMEN

Introducción: La calcifilaxis es una rara entidad, con una condición frecuentemente fatal en pacientes con falla renal crónica; aproximadamente el 1% de estos pacientes; se caracteriza por calcificación de arteriolas subcutáneas e infarto del tejido celular subcutáneo y la piel adyacente. Asociándose a una elevada morbimortalidad.

Caso clínico: Masculino de 48 años de edad, con antecedentes de diabetes mellitus tipo 2, de 10 años de evolución e insuficiencia renal crónica en tratamiento con hemodiálisis desde hace 4 meses; quien presentó aumento de consistencia, dolor y cambios de coloración en pene que evolucionó a necrosis completa de la estructura.

Conclusiones: Al aumentar el número de pacientes en tratamiento con diálisis, con diabetes mellitus asociada, los casos de calcifilaxis aumentarán proporcionalmente. Se necesita un alto grado de sospecha en todo paciente con enfermedad renal terminal de larga evolución, que se presente con las lesiones genitales características para establecer el diagnóstico que habitualmente es clínico. En lo referente al manejo, existe controversia, sobre todo en relación con la conducta quirúrgica que se debe seguir, que va desde falectomía hasta cuidados locales de la lesión, desbridación y antibioticoterapia.

Palabras claves: Calcifilaxis, pene, falla renal

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