Limits...
Tumoral calcinosis (Teutschlander disease) in a dialysis patient.

Binnani P, Aggarwal V, Bahadur MM, Fulara N - Indian J Nephrol (2008)

Bottom Line: It is generally associated with the presence of the high serum calcium-and-phosphorus product.A 25 year-old male presented with multiple, nodular, painful, cutaneous swellings all over his body that had been progressively increasing over the last four years.The patient was investigated and diagnosed as having tumoral calcinosis and was treated with a low calcium dialysate of pure reverse osmosis water.

View Article: PubMed Central - PubMed

ABSTRACT
Tumoral calcinosis is an uncommon and severe complication of hemodialysis therapy. It is generally associated with the presence of the high serum calcium-and-phosphorus product. We report here a case of a patient on hemodialysis who presented with progressively increasing, multiple, tumor-like, subcutaneous swellings. These are rare manifestations of extraosseous calcification in uremic patients that are termed as tumoral calcinosis. A 25 year-old male presented with multiple, nodular, painful, cutaneous swellings all over his body that had been progressively increasing over the last four years. He was a known case of chronic glumerulonephritis who was on regular hemodialysis. The patient was investigated and diagnosed as having tumoral calcinosis and was treated with a low calcium dialysate of pure reverse osmosis water.

No MeSH data available.


Related in: MedlinePlus

X-ray of the pelvis with both hips
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC2813132&req=5

Figure 0003: X-ray of the pelvis with both hips

Mentions: An X-ray of the joints revealed gross, periarticular, soft tissue calcification with vascular calcification [Figs. 2 and 3]. USG of the abdomen revealed splenic vessel calcification and bilateral, small, shrunken kidneys with dystrophic specks of calcification. Ultrasound of the nodular lesion was suggestive of calcified subcutaneous masses (solid and cystic). A radioisotope bone-scan revealed multiple areas of abnormal soft tissue uptake suggestive of ectopic calcification [Fig. 4]. A parathyroid scan did not pick up any parathyroid adenoma. A CT scan of the spine showed paravertebral, calcified masses with fluid calcium levels suggestive of heterotopic soft tissue calcification. The patient had concentric left ventricular hypertrophy with an ejection fraction of 55% on 2D echocardiography. Electromyography and nerve conduction studies showed mixed (demyelinating and axonal) sensorimotor radiculoneuropathy. Causes for the patient's recurrent fever were investigated, but all cultures were negative.


Tumoral calcinosis (Teutschlander disease) in a dialysis patient.

Binnani P, Aggarwal V, Bahadur MM, Fulara N - Indian J Nephrol (2008)

X-ray of the pelvis with both hips
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2813132&req=5

Figure 0003: X-ray of the pelvis with both hips
Mentions: An X-ray of the joints revealed gross, periarticular, soft tissue calcification with vascular calcification [Figs. 2 and 3]. USG of the abdomen revealed splenic vessel calcification and bilateral, small, shrunken kidneys with dystrophic specks of calcification. Ultrasound of the nodular lesion was suggestive of calcified subcutaneous masses (solid and cystic). A radioisotope bone-scan revealed multiple areas of abnormal soft tissue uptake suggestive of ectopic calcification [Fig. 4]. A parathyroid scan did not pick up any parathyroid adenoma. A CT scan of the spine showed paravertebral, calcified masses with fluid calcium levels suggestive of heterotopic soft tissue calcification. The patient had concentric left ventricular hypertrophy with an ejection fraction of 55% on 2D echocardiography. Electromyography and nerve conduction studies showed mixed (demyelinating and axonal) sensorimotor radiculoneuropathy. Causes for the patient's recurrent fever were investigated, but all cultures were negative.

Bottom Line: It is generally associated with the presence of the high serum calcium-and-phosphorus product.A 25 year-old male presented with multiple, nodular, painful, cutaneous swellings all over his body that had been progressively increasing over the last four years.The patient was investigated and diagnosed as having tumoral calcinosis and was treated with a low calcium dialysate of pure reverse osmosis water.

View Article: PubMed Central - PubMed

ABSTRACT
Tumoral calcinosis is an uncommon and severe complication of hemodialysis therapy. It is generally associated with the presence of the high serum calcium-and-phosphorus product. We report here a case of a patient on hemodialysis who presented with progressively increasing, multiple, tumor-like, subcutaneous swellings. These are rare manifestations of extraosseous calcification in uremic patients that are termed as tumoral calcinosis. A 25 year-old male presented with multiple, nodular, painful, cutaneous swellings all over his body that had been progressively increasing over the last four years. He was a known case of chronic glumerulonephritis who was on regular hemodialysis. The patient was investigated and diagnosed as having tumoral calcinosis and was treated with a low calcium dialysate of pure reverse osmosis water.

No MeSH data available.


Related in: MedlinePlus