Journal of Yeungnam Medical Science

영남대 의대 학술지 편집위원회 (Yeungnam University College of Medicine, Yeungnam University Institute Medical Science)
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Tumoral calcinosis and calciphylaxis treated with subtotal parathyroidectomy and sodium thiosulphate

  • Cho, Hyunjeong (Department of Internal Medicine, Seoul National University College of Medicine) ;
  • Yi, Yongjin (Department of Internal Medicine, Seoul National University College of Medicine) ;
  • Kang, Eunjeong (Department of Internal Medicine, Seoul National University College of Medicine) ;
  • Park, Seokwoo (Department of Internal Medicine, Seoul National University College of Medicine) ;
  • Cho, Eun Jin (Department of Internal Medicine, Hongseong Medical Center) ;
  • Cho, Sung Tae (Dr. Chun & Cho's Medical Clinic & Dialysis Center) ;
  • Chun, Rho Won (Dr. Chun & Cho's Medical Clinic & Dialysis Center) ;
  • Lee, Kyu Eun (Department of Surgery, Seoul National University College of Medicine) ;
  • Oh, Kook-Hwan (Department of Internal Medicine, Seoul National University College of Medicine)
  • 투고 : 2015.06.30
  • 심사 : 2015.08.28
  • 발행 : 2016.06.30
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초록

Tumoral calcinosis (TC) is a condition resulting from extensive calcium phosphate precipitation, primarily in the periarticular tissues around major joints. Calciphylaxis is a fatal ischemic vasculopathy mainly affecting dermal blood vessels and subcutaneous fat. This syndrome is rare and predominantly occurs in patients with end-stage renal disease. Here, we report on a rare case involving a patient with TC complicated with calciphylaxis. Our patient was a 31-year-old man undergoing hemodialysis who presented with masses on both shoulders and necrotic cutaneous ulcers, which were associated with secondary hyperparathyroidism, on his lower legs. He underwent subtotal parathyroidectomy, and sodium thiosulfate (STS) was administered for 27 weeks. Twenty months after beginning the STS treatment course, he experienced dramatic relief of his TC and calciphylaxis.

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참고문헌

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