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이차성부갑상샘항진증을 가진 만성신부전 환자에서 하악골 종대 및 폐, 위점막 석회 침착 1예Mandibular Enlargement, Metastatic Pulmonary Calcification and Gastric Mucosal Calcinosis in a Patient with Chronic Kidney Disease-mineral Bone Disorder

Other Titles
Mandibular Enlargement, Metastatic Pulmonary Calcification and Gastric Mucosal Calcinosis in a Patient with Chronic Kidney Disease-mineral Bone Disorder
Authors
김정엽김정선왕준광박상원이영모이지은전은실표희정이재복권영주
Issue Date
2010
Publisher
대한신장학회
Keywords
Secondary hyperparathyroidism; Pathologic calcification; Secondary hyperparathyroidism; Pathologic calcification
Citation
Kidney Research and Clinical Practice, v.29, no.2, pp.270 - 275
Indexed
KCI
Journal Title
Kidney Research and Clinical Practice
Volume
29
Number
2
Start Page
270
End Page
275
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/117647
ISSN
2211-9132
Abstract
Secondary hyperparathyroidism is one of the most common complications of patients with chronic kidney disease (CKD). Mandibular enlargement, metastatic pulmonary calcification, and gastric mucosal calcinosis are rare complications in these patients. The defect of calcium and phosphorus metabolism may precipitate pathologic calcification at diverse organs and soft tissue, and change bone architecture. In case of involving periarticular area, patients usually present with localized swelling, pain, and reduced mobility in affected sites. However, in case of organ involvement, except in an advanced stage of disease, there are no specific symptoms. Among these patients, treatment strategies include tight control of calcium and phosphate levels, parathyroidectomy for hyperparathyroidism, renal transplantation, and local excision of calcific lesions. We report a case of mandibular enlargement, metastatic pulmonary calcification, and gastric mucosal calcinosis due to CKD with improvement 3 months after medical and surgical treatment.
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