Uremic tumoral calcinosis in patients on peritoneal dialysis: Clinical, radiologic, and laboratory features

Hung Yi Chu, Pauling Chu, Yuh Feng Lin, Heng Kuang Chou, Shih Hua Lin

研究成果: 雜誌貢獻文章同行評審

19 引文 斯高帕斯(Scopus)

摘要

Background: Uremic tumoral calcinosis (UTC) has been analyzed in uremic patients on hemodialysis, but little is known about UTC in peritoneal dialysis (PD). In this study, we aimed to characterize UTC in uremic patients on PD. Methods: We retrospectively reviewed uremic patients on PD who developed UTC over a 9-year period. Clinical, radiologic, and laboratory features; treatments; and outcomes in those patients were assessed. One of the patients (case 7) is described as a case example. Results: The study enrolled 7 patients with a mean age of 41 years. Mean time from PD to UTC was 45.3 months. All patients were anuric but adequately dialyzed. Cardinal symptoms were local tenderness and limited range of joint motion. Lesions were mostly multifocal (n = 6) and predominantly involved shoulders, hands, feet, hips, and wrists. Metatarsophalangeal joint UTC was misdiagnosed as tophaceous gout in 2 patients. Main laboratory findings were hyperphosphatemia (7.9 ± 0.8 mg 2/dL 2), high Ca×P product [>65 mg 2/dL 2 (range: 81.1 ± 11.5 mg2/dL2)], secondary hyperparathyroidism (SHPT) with various levels of intact parathyroid hormone (iPTH: 592.2 ± 315.2 pg/mL;

原文英語
頁(從 - 到)430-439
頁數10
期刊Peritoneal Dialysis International
31
發行號4
DOIs
出版狀態已發佈 - 7月 2011

ASJC Scopus subject areas

  • 腎臟病學

指紋

深入研究「Uremic tumoral calcinosis in patients on peritoneal dialysis: Clinical, radiologic, and laboratory features」主題。共同形成了獨特的指紋。

引用此