Successful Treatment of Wounds from Nonuremic Calciphylaxis with Acellular Piscine Dermis

Abstract

Summary: In this report, we present a 57-year-old man with chronic bilateral lower extremity wounds from nonuremic calciphylaxis, which were successfully reconstructed using a piscine-derived acellular dermal matrix. The acellular dermal matrix incorporated quickly, providing a wound bed that was amenable to skin grafting. We demonstrate that this is an effective off-the-shelf solution for these chronic wounds, resulting in pain reduction and complete closure of the wounds, allowing the patient to return to his previous baseline activities, and improving his quality of life.

Acellular Piscine Dermis for Pediatric Hand Burn Reconstruction

“…We have found this to be useful in complex upper and lower extremity wounds, including this case. 10 , 11 …”

“…We have found this to be useful in complex upper and lower extremity wounds, including this case. 10,11 The use of skin substitutes in the treatment of pediatric burn wounds is a viable alternative to allografts, as they are effective in promoting wound healing and reducing infection risk while avoiding the problems typically associated with allografts, including cost. 12 The use of ADM eliminates donor-site morbidity, which is helpful in pediatric patients, who require conservation of body surface area.…”