Improvement in Multiple Metastatic Calcinosis Cutis Lesions after Hemodialysis in a Patient with Chronic Renal Failure: A Case Report
- Author:
In Hye CHOI
1
;
Chul Jong PARK
;
Kyung Ho LEE
Author Information
1. Department of Dermatology, College of Medicine, The Catholic University of Korea, Seoul, Korea. beauty4u@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Calcinosis cutis;
Metastatic calcinosis cutis
- MeSH:
Calcinosis;
Calcium;
Diagnosis;
Diagnosis, Differential;
Follow-Up Studies;
Humans;
Kidney Failure, Chronic;
Metabolism;
Middle Aged;
Parathyroid Hormone;
Peritoneal Dialysis;
Phosphorus;
Renal Dialysis;
Salts;
Shoulder;
Thumb
- From:Korean Journal of Dermatology
2019;57(5):270-273
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Metastatic calcinosis cutis refers to the deposition of calcium salts in normal tissue secondary to an underlying defect in calcium and/or phosphate metabolism. It commonly affects periarticular areas in patients with chronic renal failure. We report a case of a 51-year-old man with a past medical history of peritoneal dialysis for chronic renal failure, who presented with multiple yellowish nodules on his right thumb. In view of the asymptomatic non-inflamed fluctuating nodules, the differential diagnoses included bacterial, tuberculous, atypical mycobacterial, or fungal infections. Histopathological and radiological examinations revealed calcifications in the right thumb and shoulder with elevated serum phosphorus and parathyroid hormone levels. The lesions improved after the patient was switched from peritoneal dialysis to hemodialysis. We report a case of metastatic calcinosis cutis in a patient with chronic renal failure. We emphasize the importance of imaging for accurate diagnosis and follow-up of calcinosis cutis and that hemodialysis scores over peritoneal dialysis in the treatment of this condition.
