Research Article

Calcific Uremic Arteriolopathy: A Case Series and Review from an Inner-City Tertiary University Center in End-Stage Renal Disease Patients on Renal Replacement Therapy

Table 3

Types of therapy to manage hyperparathyroidism and the outcome of the CUA lesions.

Patient variablesFrequency (%)

Therapy of hyperparathyroidism
 Vitamin D1 (4.2%)
 Cinacalcet13 (54.2%)
 Parathyroidectomy1 (4.2%)
 Alendronate1 (4.2%)
 No treatment8 (33.3%)

Therapy of calcific uremic arteriolopathy
ReceivedDid not receive
 HBO22 (8.3%)22 (91.7%)
 Cinacalcet13 (54.1%)11 (45.9%)
 Wound care21 (87.5%)3 (12.5%)
 NaTSO422 (91.7%)2 (8.3%)
 PTHx1 (4.2%)23 (95.8%)

The outcome of the lesion
 Improved10 (41.7%)
 Partially improved2 (8.3%)
 Expired or amputation12 (50%)

HBO: hyperbaric oxygen therapy, NaTSO4: sodium thiosulphate, PTHx: parathyroidectomy. Patients may be enrolled in multiple types of treatment for calcific uremic arteriolopathy.