Fig. 4.

Suggested procedures for patients with calciphylaxis. This flow chart shows a possible treatment path for calciphylaxis patients which has to be evaluated in further studies. In addition to the general recommended interventions, a bone biopsy should be performed initially to determine the underlying real bone disease (grey boxes). Once a diagnosis of high or low bone turnover has been established specific procedures (blue boxes) can be initiated. Supportive care (green box) should be provided at any time. Recommendations for general procedures, high turnover bone disease and supportive care were adopted from [2, 8, 11]