Yeungnam Univ J Med.
2016 Jun;33(1):68-71. 10.12701/yujm.2016.33.1.68.
Tumoral calcinosis and calciphylaxis treated with subtotal parathyroidectomy and sodium thiosulphate
- Affiliations
-
- 1Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea. ohchris@hanmail.net
- 2Department of Internal Medicine, Hongseong Medical Center, Hongseong, Korea.
- 3Dr. Chun & Cho's Medical Clinic & Dialysis Center, Seoul, Korea.
- 4Department of Surgery, Seoul National University College of Medicine, Seoul, Korea.
- KMID: 2328119
- DOI: http://doi.org/10.12701/yujm.2016.33.1.68
Abstract
- 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.
