4.Diagnosis and treatment of adipsic diabetes insipidus accompanied with intracranial calcification.
Ming-ming HU ; Min LIU ; Wei LIU
Acta Academiae Medicinae Sinicae 2013;35(2):161-165
OBJECTIVETo summarize our experience in the management of adipsic central diabetes insipidus(ADI) accompanied with intracranial calcification.
METHODThe clinical data of one ADI patient accompanied with intracranial calcification who was treated in our hospital since December 2011 were retrospectively summarized.
RESULTSThe 24-hour urine volume was 800 ml. She didn't feel thirsty even with increased plasma sodium concentration(153 mmol/L) and blood osmotic pressure(333 mmol/L) . Combined water deprivation and vasopressin test revealed the diagnosis of central diabetes insipidus. The high intensity signal(on T1-weighted magnetic resonance imaging) in the posterior lobe of pituitary gland was found. Computed tomography showed calcifications in the bilateral basal ganglia.Serum cytomegalovirus IgG was positive. She was treated with desmopressin and asked for regular water intake regardless of the adipsia. The plasma sodium concentration was still below 150 mmol/L during the 4-month follow-up.
CONCLUSIONSRoutine adipsia evaluation and combined water deprivation and vasopressin test are critical for the diagnosis and treatment of ADI. Past insidious intracranial cytomegalovirus infection may explain the cause of ADI and calcification.
Brain Diseases ; complications ; Calcinosis ; complications ; Child ; Cytomegalovirus ; Diabetes Insipidus, Neurogenic ; complications ; diagnosis ; etiology ; Drinking ; Female ; Humans ; Sodium ; blood
5.Calcification of bilateral ureters: a novel association with systemic lupus erythematosus.
De-Xun JIANG ; Yong LIAO ; Yun-Jing BAI
Chinese Medical Journal 2012;125(12):2235-2237
A 16-year-old female patient with systemic lupus erythematosus (SLE) presented with abdominal pain and oliguria, after one month of hospital treatment with methylprednisolone and cyclophosphamide. Computed tomography of the abdomen revealed the calcification of bilateral superior segmental ureteral wall. Computed tomography urography revealed stenosis of bilateral ureters. This calcification may be associated with lupus-induced inflammatory reaction of ureteral endomembrane. By receiving the ureteral catheters, her abdominal pain and oliguria had been completely resolved. After discharge, she underwent the surgery of cutaneous ureterostomy in the local hospital. During two years follow-up, her condition is stable without any symptom of the urinary system.
Adolescent
;
Calcinosis
;
diagnosis
;
etiology
;
Female
;
Humans
;
Lupus Erythematosus, Systemic
;
complications
;
Ureter
;
pathology
8.Large subcutaneous calcification in systemic lupus erythematosus: treatment with oral aluminum hydroxide administration followed by surgical excision.
Young Min PARK ; Sang Jung LEE ; Hoon KANG ; Sang Hyun CHO
Journal of Korean Medical Science 1999;14(5):589-592
A 32-year-old woman with a long-standing systemic lupus erythematosus had multiple subcutaneous nodules on her axillae, iliac crests and limbs. Three years ago, these nodules began to appear and slowly became larger. Some of them amassed to form a large, fungating, lobulated mass on her right iliac crest. Roentgenographic and histological examination showed that they were calcium deposits. She was initially treated with aluminum hydroxide administration for nine months, which resulted in moderate decrease in size and softening in consistency, but not complete resolution. Then, the mass on the right iliac crest was excised, with an excellent early result.
Administration, Oral
;
Adult
;
Aluminum Hydroxide/therapeutic use*
;
Biopsy
;
Calcinosis/therapy*
;
Calcinosis/etiology
;
Calcinosis/diagnosis
;
Case Report
;
Female
;
Human
;
Lupus Erythematosus, Systemic/complications*
;
Skin Diseases/therapy*
;
Skin Diseases/etiology
;
Skin Diseases/diagnosis
9.Large subcutaneous calcification in systemic lupus erythematosus: treatment with oral aluminum hydroxide administration followed by surgical excision.
Young Min PARK ; Sang Jung LEE ; Hoon KANG ; Sang Hyun CHO
Journal of Korean Medical Science 1999;14(5):589-592
A 32-year-old woman with a long-standing systemic lupus erythematosus had multiple subcutaneous nodules on her axillae, iliac crests and limbs. Three years ago, these nodules began to appear and slowly became larger. Some of them amassed to form a large, fungating, lobulated mass on her right iliac crest. Roentgenographic and histological examination showed that they were calcium deposits. She was initially treated with aluminum hydroxide administration for nine months, which resulted in moderate decrease in size and softening in consistency, but not complete resolution. Then, the mass on the right iliac crest was excised, with an excellent early result.
Administration, Oral
;
Adult
;
Aluminum Hydroxide/therapeutic use*
;
Biopsy
;
Calcinosis/therapy*
;
Calcinosis/etiology
;
Calcinosis/diagnosis
;
Case Report
;
Female
;
Human
;
Lupus Erythematosus, Systemic/complications*
;
Skin Diseases/therapy*
;
Skin Diseases/etiology
;
Skin Diseases/diagnosis
10.Acute Retropharyngeal Calcific Tendinitis in an Unusual Location: a Case Report in a Patient with Rheumatoid Arthritis and Atlantoaxial Subluxation.
Seunghun LEE ; Kyung Bin JOO ; Kyu Hoon LEE ; Wan Sik UHM
Korean Journal of Radiology 2011;12(4):504-509
Retropharyngeal calcific tendinitis is defined as inflammation of the longus colli muscle and is caused by the deposition of calcium hydroxyapatite crystals, which usually involves the superior oblique fibers of the longus colli muscle from C1-3. Diagnosis is usually made by detecting amorphous calcification and prevertebral soft tissue swelling on radiograph, CT or MRI. In this report, we introduce a case of this disease which was misdiagnosed as a retropharyngeal tuberculous abscess, or a muscle strain of the ongus colli muscle. No calcifications were visible along the vertical fibers of the longus colli muscle. The lesion was located anterior to the C4-5 disc, in a rheumatoid arthritis patient with atlantoaxial subluxation. Calcific tendinitis of the longus colli muscle at this location in a rheumatoid arthritis patient has not been reported in the English literature.
Adult
;
Arthritis, Rheumatoid/*complications
;
Atlanto-Axial Joint/*physiopathology
;
Calcinosis/*complications/*diagnosis
;
Diagnosis, Differential
;
Dislocations/*complications
;
Female
;
Humans
;
*Magnetic Resonance Imaging
;
Pharyngeal Diseases/*complications/*diagnosis
;
Tendinopathy/*complications/*diagnosis