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His treatment included daily dialysis sessions, which were challenging due to vascular access issues and three times weekly sodium thiosulfate. He rapidly declined in hospital and died within 2\u2009weeks of presentation while being treated for a hospital-acquired pneumonia.<\/jats:p>","DOI":"10.1136\/bcr-2023-258482","type":"journal-article","created":{"date-parts":[[2024,2,13]],"date-time":"2024-02-13T12:26:09Z","timestamp":1707827169000},"page":"e258482","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Coexistence of nephrogenic systemic fibrosis and calciphylaxis in a gadolinium-na\u00efve, chronic haemodialysis patient"],"prefix":"10.1136","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-7785-0185","authenticated-orcid":false,"given":"Mariyam Shiruzima","family":"Adam","sequence":"first","affiliation":[{"name":"Royal Liverpool and Broadgreen University Hospitals NHS Trust, Liverpool, UK"},{"name":"Wirral University Teaching Hospital NHS Foundation Trust, Wirral, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shilan","family":"Jmor","sequence":"additional","affiliation":[{"name":"Wirral University Teaching Hospital NHS Foundation Trust, Wirral, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed","family":"Elsayed","sequence":"additional","affiliation":[{"name":"Wirral University Teaching Hospital NHS Foundation Trust, Wirral, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1444-3091","authenticated-orcid":false,"given":"Noshaba","family":"Naz","sequence":"additional","affiliation":[{"name":"Wirral University Teaching Hospital NHS Foundation Trust, Wirral, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,2,13]]},"reference":[{"key":"2025082804251828000_17.2.e258482.1","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1016\/j.nefroe.2019.03.013","article-title":"The first case of coexistence of calciphylaxis and nephrogenic systemic fibrosis with different localizations in a hemodialysis patient","volume":"40","author":"Gore Karaali","year":"2020","journal-title":"Nefrologia (Engl Ed)"},{"key":"2025082804251828000_17.2.e258482.2","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2017-221016","article-title":"A unique case of nephrogenic systemic fibrosis from gadolinium exposure in a patient with normal eGFR","volume":"2017","author":"Lohani","year":"2017","journal-title":"BMJ Case Rep"},{"key":"2025082804251828000_17.2.e258482.3","doi-asserted-by":"crossref","first-page":"29","DOI":"10.5527\/wjn.v10.i3.29","article-title":"Nephrogenic systemic fibrosis: a frivolous entity","volume":"10","author":"Bhargava","year":"2021","journal-title":"World J Nephrol"},{"key":"2025082804251828000_17.2.e258482.4","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2019182916"},{"key":"2025082804251828000_17.2.e258482.5","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfq693"},{"key":"2025082804251828000_17.2.e258482.6","article-title":"Photopheresis provides significant long-lasting benefit in nephrogenic systemic fibrosis","volume":"2017","author":"Zhang","year":"2017","journal-title":"Case Rep Dermatol Med"},{"key":"2025082804251828000_17.2.e258482.7","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2022.06.011"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2023-258482","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:25:33Z","timestamp":1756380333000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2023-258482"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2]]},"references-count":7,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2024,2,13]]},"published-print":{"date-parts":[[2024,2]]}},"alternative-id":["10.1136\/bcr-2023-258482"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2023-258482","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2024,2]]}}}