Evidence map›Paper›PMID 41472909›Full record

ArticleCase reports in nephrology2025

Calciphylaxis in the Upper GI Tract in an ESRD Patient: An Atypical Presentation and Review of Literature.

Pallavi D Shirsat, Kunal Sonavane, Leonardo Ramirez Botana, Bharat Sachdeva

Abstract read
In one paragraph

Article in Case reports in nephrology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Pallavi D ShirsatDepartment of Internal Medicine and Nephrology, Minden Medical Center, 1 Medical Plaza, Minden, 71055, Louisiana, USA.ORCID https://orcid.org/0000-0003-4969-3488
Kunal SonavaneDepartment of Internal Medicine, Willis Knighton Bossier, Bossier City, 71111, Louisiana, USA.
Leonardo Ramirez BotanaDepartment of Internal Medicine and Nephrology, Louisiana State University Health, 1501 Kings Highway, Shreveport, 71103, Louisiana, USA, lsu.edu.
Bharat SachdevaDepartment of Internal Medicine and Nephrology, Louisiana State University Health, 1501 Kings Highway, Shreveport, 71103, Louisiana, USA, lsu.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Calciphylaxis, also referred to as calcific uremic arteriolopathy (CUA), is a rare and life-threatening condition characterized by vascular calcification, ischemic tissue injury, and high morbidity and mortality. It is predominantly observed in patients with end-stage renal disease (ESRD) who are undergoing dialysis and typically presents with painful cutaneous ulcers. We report an exceptional case of gastric mucosal CUA in a dialysis-dependent ESRD patient, presenting with severe upper gastrointestinal bleeding in the absence of preceding skin lesions. Histopathologic examination of gastric biopsies confirmed vascular calcification consistent with CUA. Despite medical intervention, the patient's course was complicated by poor treatment adherence and subsequent fatal outcome. This case underscores the importance of maintaining high index of suspicion for atypical, visceral presentations of CUA in high-risk ESRD patients. This case was previously presented as a poster at the National Kidney Foundation 2025 Spring Clinical Meeting.

Indexed as

calcemic uremic arteriolopathycalciphylaxisESRDgastrointestinal bleedinggastrointestinal hemorrhage

Identifiers

PMID41472909
PMCPMC12747075

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.