Unusual complication of soft tissue calcifications in chronic renal disease: The articular erosions

Meneghello, A; Bertoli, M; Romagnoli, Gian Franco

doi:10.1007/bf00580599

Cited by 18 publications

(4 citation statements)

References 5 publications

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“…Meltzer et al [10] reported a case of a 73-year-old black woman on chronic hemodialysis with tumoral calcinosis eroding the iliac crest. Meneghello et al [16] reported periarticular subchondral bone erosion adjacent to soft tissue calcification in a chronic renal dialysis patient. Steinbach et al [12] reported on tumoral calcinosis with bony erosion along the humeral head and femoral neck.…”

Section: Discussionmentioning

confidence: 99%

Secondary Tumoral Calcinosis with Intraosseous Penetration

Girard¹,

Wasserman²,

Lenchik³

2009

Radiology Case Reports

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We report a case of a 55-year-old woman with chronic renal failure and secondary tumoral calcinosis with rare intraosseous penetration of the humerus. Typical lobulated calcifications with associated layering “milk of calcium” were present about the right shoulder and elbow on conventional radiographs, computed tomography images and magnetic resonance images. Rare appearance of cortical destruction and intraosseous extension of tumoral calcinosis into the medullary space was observed in the proximal humerus on CT and MR images. Since there is concern for pathologic fracture, radiologists should be aware of this rare complication of chronic renal disease.

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Section: Discussionmentioning

confidence: 99%

Secondary Tumoral Calcinosis with Intraosseous Penetration

Girard¹,

Wasserman²,

Lenchik³

2009

Radiology Case Reports

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“…Отличие эрозий при ПГПТ заключается в меньшей частоте кальцификации окружающих мягких тканей, сопутствующей эрозивному поражению. При нормализации уровня ПТГ отмечена положительная динамика эрозивного поражения суставов [77].…”

Section: эрозивная артропатия при первичном гиперпаратиреозеunclassified

Joint and muscle involvement in primary hyperparathyroidism

et al. 2019

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In addition to the classical symptoms such as osteoporosis, renal stones and gastric ulcers primary hyperparathyroidism (PHPT) could be presented with “non-classical” manifestations, including muscle and joint pathology. Moreover, in some cases the articular and neuromuscular impairment might be the main signs of the disease. Despite the long research history the true prevalence of these PHPT complications remains unknown. Discrepancies in studies results may be due the non-specific and different symptoms that patients complain about, various study design, uncorrected comorbid conditions, the different PHPT populations, a wide methods variety in the assessment of neuromuscular and articular involvement. However, the underestimated muscle dysfunction and joint damage can lead to decreased quality of life and disability, primarily from fragility fractures. In the majority of the studies parathyroidectomy improved muscle strength, but there is no clear results for articular manifestations. Basic research and large randomized control trials are limited. The main goal of this review is to summarize currently available data on muscle and joint involvement in patients with PHPT.

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“…Les deux premières avaient largement érodé la corticale et détruit un bonne partie de l'ilion et de l'ischion de patientes atteintes de néphrite chronique nécessitant des épurations extrarénales répétées [6].…”

Section: Calcinose Tumorale éRosiveunclassified

“…L'hyperpression de son contenu en revanche plaide en faveur d'un processus mécanique susceptible de comprimer et de détruire le tissu osseux. Elle corrobore les constatations et la théorie déjà avancée par Ménéghello [6].…”

Section: Calcinose Tumorale éRosiveunclassified