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Severe metastatic calcifications in a hemodialysis patient
Author(s) -
J. Labidi,
Y. Ben Ariba,
A. Ben Gabsia,
F. Ajili,
R. Battikh,
B. Louzir,
N. Ben Abdelhafidh,
Saleh I Othman
Publication year - 2016
Publication title -
saudi journal of kidney diseases and transplantation/našrat amraḍ wa zira'aẗ al-kulaẗ
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.268
H-Index - 30
eISSN - 2320-3838
pISSN - 1319-2442
DOI - 10.4103/1319-2442.190884
Subject(s) - medicine , metastatic calcification , calcification , hemodialysis , complication , secondary hyperparathyroidism , calcinosis , hyperparathyroidism , chronic renal failure , lung , dystrophic calcification , radiology , pathology , surgery , parathyroid hormone , calcium
Tissue calcification is a common complication in patients on continuous hemodialysis (HD) for chronic renal failure; however, severe calcification is unusual. Three distinct clinical types of extraosseous calcifications are found in uremic patients: vascular calcification, periarticular (tumoral) calcification, and visceral calcification (heart, lung, and kidney). We report a case of a young chronic HD patient who presented with extensive metastatic calci cations both vascular, visceral specially localized in the lungs, and periarticular with progressively increasing multiple subcutaneous swellings. This evolution was secondary to noncompliance of the patient to the treatment of a malignant hyperparathyroidism with a marked elevation of phosphocalcium product.

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