Pulmonary metastatic calcification with respiratory insufficiency in patients on maintenance haemodialysis.
نویسندگان
چکیده
A uraemic patient undergoing chronic haemodialysis developed diffuse metastatic pulmonary calcification and died from acute respiratory insufficiency after renal transplantation. Thirteen similar cases previously published are reviewed, with emphasis on the clinical and anatomical features of such calcinosis. The pathogenesis of this calcification in patients on maintenance haemodialysis and some rules for its prevention are discussed.
منابع مشابه
Metastatic pulmonary calcification after renal transplantation.
Metastatic pulmonary calcifications, unlike dystrophic calcifications, occur in the normal healthy lung. The radiological pattern is quite specific. The disease is commonly described in chronic renal failure with calcium disorders. The prognosis is totally unpredictable. In 1992, a 50 yr old man underwent a successful renal transplantation during the final stage of chronic renal failure. He sub...
متن کامل[Diffuse pulmonary calcification in a patient with renal insufficiency].
We report the case of a 37-year-old man with chronic renal insufficiency, on hemodialysis, with no respiratory symptoms but whose chest radiograph showed parenchymal consolidation in the middle and upper lung fields. High resolution computed tomography showed a high-attenuating diffuse alveolar pattern that indicated calcium deposits. Bronchoscopy revealed metastatic calcification on the intera...
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Metastatic calcification is rare; it is found during autopsy in patients who underwent hemodialysis. Diffuse calcium precipitation of small and medium-sized cutaneous vessels, known as calciphylaxis, can result in progressive tissue necrosis secondary to vascular calcification. This condition most commonly involves the skin; however, a rare occurrence of visceral calciphylaxis has been reported...
متن کاملSudden onset of adult respiratory distress syndrome (ARDS) in a long standing chronic haemodialysis patient with lung calcification.
Patients with end-stage renal failure treated by haemodialysis have a marked increased risk for cardiovascular death. These patients have both an accelerated form of arteriosclerosis with calcification in atheromatous intimal plaques and also medial calcification due to Monckeberg’s. In extreme cases soft tissue calcification can lead to calciphylaxis resulting in skin ulceration, amputation an...
متن کاملProgressive metastatic pulmonary calcification after successful renal transplantation.
Metastatic pulmonary calcification is a complication of patients with renal failure [1], but is rarely seen after successful renal transplantation. A 51-year-old Japanese male demonstrated progression of diffuse pulmonary ground-glass attenuations over time. He had been treated with oral corticosteroids and immunosuppressants since undergoing left renal transplantation from his mother at 26 yea...
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عنوان ژورنال:
- Thorax
دوره 34 3 شماره
صفحات -
تاریخ انتشار 1979