The use of the ultrasound assessment in the uremic tumoral calcinosis (a case report)
Abstract
Metastatic calcification of the soft tissues is a serious problem in patients with end-stage renal disease. Uremic tumoral calcinosis is a rare form of ectopic or extraskeletal calcification characterized by the presence of calcium phosphate deposits in soft tissues mostly surrounding large joints. This complication is thought to be related to hyperphosphatemia and the high calcium-phosphorus product as well as the development of secondary or tertiary hyperparathyroidism in patients on long-term dialysis. There are only several case reports which describe ultrasound evaluation of the uremic tumoral calcinosis. Here we describe a case of a 34-year-old man on a long-term hemodialysis who developed progressively enlarging multiple tumor-like lesions all over his body. Ultrasound evaluation revealed multilocular cysts in calcified structures with active vascularization. This clinical observation demonstrates the use of the ultrasound examination in diagnosis of the uremic tumoral calcinosis allowing to detect the presence, extension, and activity of the process.
About the Authors
E. V. Polukhina
КГБОУ ДПО «Институт повышения квалификации специалистов здравоохранения», г. Хабаровск
Russian Federation
Russian Federation
L. O. Glazun
КГБОУ ДПО «Институт повышения квалификации специалистов здравоохранения», г. Хабаровск
Russian Federation
Russian Federation
D. V. Ezersky
Regional clinical hospital № 1, Khabarovsk
Russian Federation
Russian Federation
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Review
For citations:
Polukhina E.V., Glazun L.O., Ezersky D.V. The use of the ultrasound assessment in the uremic tumoral calcinosis (a case report). Nephrology and Dialysis. 2012;14(3):185-190. (In Russ.)
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