The second dissociation constant of sulfuric acid in 1 m KCl media has been determined from 25 to 200 °C using Debye–Hückel equation from the data on the electromotive force of a hydrogen ion-concentration cell. The thermodynamic values for the HSO4−=H++SO42− reaction and the KSO4− ion-pair association constant are also presented.
Elevated parathyroid hormone (PTH) levels and hyperphosphatemia are thought to be associated with the development of calciphylaxis. We report a patient on hemodialysis who developed proximal calciphylaxis with consistently low PTH levels after parathyroidectomy. A 31-year-old man was admitted to our hospital because of abdominal skin ulcerations. Calciphylaxis spread to the penis, and simultaneous progressive lung calcification was evident on chest X-ray, suggestive of pulmonary calciphylaxis on 99m Tc-methylene disphosphonate scintigraphy. The patient died of respiratory failure despite intensive treatment including hyperbaric oxygen therapy. This is the first report of a patient on hemodialysis who developed calciphylaxis involving the penis after parathyroidectomy. (Internal Medicine 43: 63-68, 2004)
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