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Vascular calcification in an adolescent treated with long-term peritoneal dialysis.

Ekim M, Fitoz S, Ozcakar ZB, Yalcinkaya F - Int J Nephrol (2011)

Bottom Line: The reason of high mortality in patients with chronic kidney disease (CKD) is cardiovascular disease and arterial calcification has been accepted as an additive factor on this status.In this report we described vascular and cardiac valvular calcifications in an adolescent on CAPD.

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatric Nephrology, School of Medicine, Ankara University, Ankara, Turkey.

ABSTRACT
The reason of high mortality in patients with chronic kidney disease (CKD) is cardiovascular disease and arterial calcification has been accepted as an additive factor on this status. In this report we described vascular and cardiac valvular calcifications in an adolescent on CAPD.

No MeSH data available.


Related in: MedlinePlus

Radiographies of right hand reveal calcification of radial and ulnar (arrows) arteries and their distal branches.
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Related In: Results  -  Collection


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fig1: Radiographies of right hand reveal calcification of radial and ulnar (arrows) arteries and their distal branches.

Mentions: A 17-year-old boy on CAPD with 4 exchanges per day (1000 mL/body surface area, 2 times 1.36% and 2 times 2.27% glucose solution) for 87 months was admitted to the hospital with severe bone pain and fatigue. Erythropoietin, iron, antihypertensive drugs, calcitriol, and calcium containing phosphate binder had been administrated but the patient was incompatible with his medication. He has been followed by another center for last 2 years unregularly. He was pale and growth retarded. Physical examination revealed tachycardia, tachypnea, hypertension, and edema. Laboratory findings were determined as follows: hemoglobin 5.4 g/dL, hematocrit 22%, serum urea 382 mg/dL, creatinine 9.8 mg/dL, albumin 3.1 g/dL, calcium 10.6 mg/dL, inorganic phosphorus 8.6 mg/dL, calcium-phosphorus product 91.1 mg²/dL², iPTH 589 pg/mL (normal 9.5–75), and CRP 5.6 mg/dL (normal 0–0.8). Radiologic examination has been performed owing to severe pain on wrists and ankles. In addition to osteopenic appearance vessel wall calcifications were noticed in the radial, ulnar, posterior tibial, anterior tibial, and iliac arteries on radiography (Figures 1, 2, and 3). Computed tomography revealed calcifications in the mitral valve, coronary artery, aorta, splenic, and iliac arteries (Figure 4).


Vascular calcification in an adolescent treated with long-term peritoneal dialysis.

Ekim M, Fitoz S, Ozcakar ZB, Yalcinkaya F - Int J Nephrol (2011)

Radiographies of right hand reveal calcification of radial and ulnar (arrows) arteries and their distal branches.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3108155&req=5

fig1: Radiographies of right hand reveal calcification of radial and ulnar (arrows) arteries and their distal branches.
Mentions: A 17-year-old boy on CAPD with 4 exchanges per day (1000 mL/body surface area, 2 times 1.36% and 2 times 2.27% glucose solution) for 87 months was admitted to the hospital with severe bone pain and fatigue. Erythropoietin, iron, antihypertensive drugs, calcitriol, and calcium containing phosphate binder had been administrated but the patient was incompatible with his medication. He has been followed by another center for last 2 years unregularly. He was pale and growth retarded. Physical examination revealed tachycardia, tachypnea, hypertension, and edema. Laboratory findings were determined as follows: hemoglobin 5.4 g/dL, hematocrit 22%, serum urea 382 mg/dL, creatinine 9.8 mg/dL, albumin 3.1 g/dL, calcium 10.6 mg/dL, inorganic phosphorus 8.6 mg/dL, calcium-phosphorus product 91.1 mg²/dL², iPTH 589 pg/mL (normal 9.5–75), and CRP 5.6 mg/dL (normal 0–0.8). Radiologic examination has been performed owing to severe pain on wrists and ankles. In addition to osteopenic appearance vessel wall calcifications were noticed in the radial, ulnar, posterior tibial, anterior tibial, and iliac arteries on radiography (Figures 1, 2, and 3). Computed tomography revealed calcifications in the mitral valve, coronary artery, aorta, splenic, and iliac arteries (Figure 4).

Bottom Line: The reason of high mortality in patients with chronic kidney disease (CKD) is cardiovascular disease and arterial calcification has been accepted as an additive factor on this status.In this report we described vascular and cardiac valvular calcifications in an adolescent on CAPD.

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatric Nephrology, School of Medicine, Ankara University, Ankara, Turkey.

ABSTRACT
The reason of high mortality in patients with chronic kidney disease (CKD) is cardiovascular disease and arterial calcification has been accepted as an additive factor on this status. In this report we described vascular and cardiac valvular calcifications in an adolescent on CAPD.

No MeSH data available.


Related in: MedlinePlus