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Saudi Journal of Kidney Diseases and Transplantation
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CASE REPORT Table of Contents   
Year : 2016  |  Volume : 27  |  Issue : 5  |  Page : 1037-1042
Severe metastatic calcifications in a hemodialysis patient


1 Department of Internal Medicine, Military Hospital, Mont Fleury, Tunis, Tunisia
2 Intensive Care Unit, Military Hospital, Mont Fleury, Tunis, Tunisia

Correspondence Address:
Jannet Labidi
Department of Internal Medicine, Military Hospital, 1008 Mont Fleury, Tunis
Tunisia
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DOI: 10.4103/1319-2442.190884

PMID: 27752018

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Tissue calcification is a common complication in patients on continuous hemodialysis (HD) for chronic renal failure; however, severe calcification is unusual. Three distinct clinical types of extraosseous calcifications are found in uremic patients: vascular calcification, periarticular (tumoral) calcification, and visceral calcification (heart, lung, and kidney). We report a case of a young chronic HD patient who presented with extensive metastatic calcifi cations both vascular, visceral specially localized in the lungs, and periarticular with progressively increasing multiple subcutaneous swellings. This evolution was secondary to noncompliance of the patient to the treatment of a malignant hyperparathyroidism with a marked elevation of phosphocalcium product.


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