Open AccessExtraskeletal Calcifications in Children with Maintenance Peritoneal Dialysis
Author(s) -
Eunhye Oh,
Jeesu Min,
Seon Hee Lim,
Ji Hyun Kim,
IlSoo Ha,
Hee Gyung Kang,
Yo Han Ahn
Publication year - 2021
Publication title -
childhood kidney diseases
Language(s) - English
Resource type - Journals
eISSN - 2384-0250
pISSN - 2384-0242
DOI - 10.3339/jkspn.2021.25.2.117
Subject(s) - medicine , peritoneal dialysis , calcification , kidney disease , complication , renal replacement therapy , dialysis , soft tissue , surgery , kidney
Chronic kidney disease (CKD)-mineral and bone disorder (CKD-MBD) is a common complication of CKD, often accompanied by extra-skeletal calcification in adult patients. As increased vascular calcification is predicted to increase cardiovascular mortality and morbidity, the revised Kidney Disease: Improving Global Outcomes guidelines recommend avoiding calcium-containing phosphate chelators. However, extra-skeletal calcification is less commonly noticed in pediatric patients. Here, we report our experience of such a complication in pediatric patients receiving maintenance peritoneal dialysis. Extra-skeletal calcification was noticed at the corneas, pelvic cavity, and soft tissues of the lower leg in 4 out of 32 patients on maintenance peritoneal dialysis. These patients experienced the aggravation of extra-skeletal calcifications during peritoneal dialysis, and 2 of them underwent excisional operations. It is required to monitor extra-skeletal calcifications in children on kidney replacement therapy.