{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T12:43:07Z","timestamp":1756384987010,"version":"3.44.0"},"reference-count":17,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2014,10,15]]},"abstract":"<jats:p>We describe the case of a 42-year-old woman who developed encapsulating peritoneal sclerosis (EPS) after 7\u2005years on peritoneal dialysis, with clinical relief by enterolysis associated to treatment with tamoxifen, corticosteroids and parenteral nutrition in haemodialysis. During the next 7\u2005months, she was also conservatively stabilised for mild hyperparathyroidism until she was admitted with calciphylaxis, associated with massive extraosseous calcification. Despite parathyroidectomy and sodium thiosulfate treatment, which resulted in a successful resolution of calciphylaxis, she died 1\u2005year later due to a gross calcified peritoneum. In view of controlled hyperparathyroidism, the massive extraosseous calcification beginning after EPS diagnosis furthermore corroborates a recently suggested role for calcium-regulatory factors associated with poor outcome in EPS.<\/jats:p>","DOI":"10.1136\/bcr-2014-206195","type":"journal-article","created":{"date-parts":[[2014,11,3]],"date-time":"2014-11-03T10:02:31Z","timestamp":1415008951000},"page":"bcr2014206195","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Discovering implicit associations in a case of encapsulating peritoneal sclerosis complicated by severe mineral imbalance"],"prefix":"10.1136","volume":"2014","author":[{"given":"Ana","family":"Pinho","sequence":"first","affiliation":[{"name":"Hospital Faro, Faro, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isabel","family":"Pinto","sequence":"additional","affiliation":[{"name":"Hospital Faro, Faro, 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