ABSTRACT
La calcinosis tumoral urémica es el depósito masivo de fosfato cálcico en tejidos blandos periarticulares de los huesos largos. Su prevalencia se estima del 1-7% de pacientes con largo tiempo en hemodiálisis y aunque su etiopatogenia es desconocida, se asocia a hiperparatiroidismo secundario severo, elevación del producto calcio- fósforo o hiperfosforemia. Presentamos un caso de calcinosis tumoral en hombro, debido a hiperfosforemia y elevación del producto calcio-fósforo, tratado mediante diálisis intensivas con líquido bajo en calcio, con rápida recidiva y desaparición tras someterse a trasplante renal
Uremic tumoral calcinosis is the massive calcium-phosphate deposits in periarticular tissues, usually around large joints. It has been described between 1-7% hemodialysis patients and although its etiopathogenesis is unknown, it is associated to severe hyperparathyroidism, elevation of the serum calcium-phosphorus product or hiperphosphataemia.We describe the case of tumoral calcinosis in the shoulder due to hiperphosphataemia and elevated calcium-phosphorus product, treated with low calcium intensive dialysis and fast relapse that disappears after renal transplantation
Subject(s)
Male , Humans , Renal Insufficiency, Chronic/complications , Renal Dialysis/adverse effects , Calcinosis/etiology , Phosphorus/urine , Recurrence , Kidney TransplantationABSTRACT
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