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Periarticular tumoral calcinosis and hypercalcemia in a hemodialysis patient without hyperparathyroidism: a case report.

  • Academic Journal
  • Eisenberg B; Service of Nuclear Medicine, VA Medical Center, Albuquerque, New Mexico 87108.
    Tzamaloukas AH
    Hartshorne MF
    Listrom MB
    Arrington ER
    Sherrard DJ
  • Journal of nuclear medicine : official publication, Society of Nuclear Medicine [J Nucl Med] 1990 Jun; Vol. 31 (6), pp. 1099-103.
  • English
  • We present a case of a 58-yr-old male to illustrate the scintigraphic, roentgenographic, clinical, and pathologic features of periarticular tumoral calcinosis that occurred in a hemodialysis patient. Soft-tissue calcifications developed 3 yr after onset of hemodialysis, became progressively larger during the ensuing five years, and culminated in voluntary withdrawal from dialysis because of the extreme discomfort and lack of mobility that resulted from the calcinosis. Histologically, an aplastic disorder was present with very low bone formation. On bone scintigraphy, intense calcium uptake in soft tissues implied that it was metabolically active. We hypothesize that this high metabolic activity contributed to the persistent hypercalcemia observed during the patient's last year of life.
Additional Information
Publisher: Society of Nuclear Medicine Country of Publication: United States NLM ID: 0217410 Publication Model: Print Cited Medium: Print ISSN: 0161-5505 (Print) Linking ISSN: 01615505 NLM ISO Abbreviation: J Nucl Med Subsets: MEDLINE
Publication: Reston, VA : Society of Nuclear Medicine
Original Publication: [Chicago, Ill.] : S.N. Turiel & Assoc.
Date Created: 19900601 Date Completed: 19900712 Latest Revision: 20041117