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김은수(Eun Soo Kim),이윤정(Yoon Jung Lee),노양원(Yang Won Roh),오준(Joon Oh),이기영(Ki Young Lee),차미경(Mi Kyung Cha),류근신(Keun Shin Yu),이한경(Han Kyung Lee),이종호(Jong Ho Lee) 대한신장학회 2001 Kidney Research and Clinical Practice Vol.20 No.1
Metastatic pulmonary calcification is a well-known complication of chronic renal failure, especially in patients undergoing maintenance hemodialysis. Although pulmonary calcification is found in most end- stage renal disease patients at autopsy, it is only rarely detected during life. Patients may even have severe abnor malities of pulmonary function without clear evidence of calcification on chest X-ray examination. Because the calcifications are only occasionally visible on plain films, tomography or radionuclide scanning are more helpful for the detection of pulmonary calcification. We report a patient on maintenance hemodialysis, who developed exertional dyspnea with abnormal chest X-ray findings. The areas of air-space filling on the chest X-ray corresponded to the areas of pulmonary calcification on HRCT, which was confirmed by transbronchial lung biopsy. Supportive treatment consisted of frequent hernodialysis with low calcium dialysate, administration of aluminum hydroxide and calcitriol, and clinical and radiological improvement were obtained.
폐와 위장의 전이성 석회화를 동반한 부갑상선 선종 1 예
송건훈(Kun Hoon Song),변영섭(Young Sud Byun),차봉수(Bong Soo Cha),이지현(Ji Hyun Lee),남문석(Moon Suk Nam),송영득(Young Duk Song),임승길(Sung Kil Lim),이현철(Hyun Chul Lee),허갑범(Kap Bum Huh) 대한내과학회 1996 대한내과학회지 Vol.51 No.3
Metastatic calcification of soft tissues due to hypercalcemia is a well-recognized complication of various malignancies and renal failure. It results from metabolic derangement in which calcium salts are deposited in otherwise normal tissuel. The calcific process principally affects lungs, stomach, kidneys and other soft tissues. With advance of nuclear imaging modalities, metastatic calcification can be detected earlier so that appropriate therapy may be instituted. A case of parathyroid adenoma with metastatic pulmonary and gastric calcification is presented. She showed intense concentrations of bone-seeking radionuclide( 99mTechnetiurn) in both lungs and stomach on routine bone scan. Renal function of the patient was moderately impaired, Right inferior parathyroidectomy was performed. Her serum calcium concentration decreased postoperatively and had to be maintained with orally administered calcium and aldactazide. After the operation the clinical course has been uneventful. Follow-up bone scan performed lo days following the operation revealed persistence of lung uptake despite restoration of normal blood calcium concentration, but disappearance of gastric uptake. So we report the case of parathyroid adenoma complicating metastatic pulmonary and gastric calcification with review of literature.
송현석,이효영,윤종준,이화진,이무석,박세윤,정지욱,Song, Hyeon-Seok,Lee, Hyo-Yeong,Yun, Jong-Jun,Lee, Hwa-Jin,Lee, Moo-Seok,Park, Se-Yun,Jeong, Ji-Uk 대한핵의학기술학회 2010 핵의학 기술 Vol.14 No.1
Introduction: A metastatic calcification is known for taking in bone scintigram medicine at metastatic calcification lesion due to abnormal distribution of the calcium and phosphorus. The one paper reports that a metastatic calcification occurs mainly at lung, stomach, kidney and myocardium. Index: The patient is seventy four years old man who is afflicted with clonic kidney disease, hypercalcemia, hypertension. Because of an ability of the multiple myeloma, we take a bone scan after intravenous injection $^{99m}Tc$-DPD 25 mCi in three hours. We found out homogeneous $^{99m}Tc$-DPD uptake at both lung and myocardium. Conclusions: Nothing unusual was found in other bone scan. We obtains a purity beyond 95 percent at $^{99m}Tc$-DPD vial. In spite of no evidence about a myocardial infarction, the patient has a $^{99m}Tc$-DPD uptake at both lung and myocardium.
Atypical Radiological Manifestation of Pulmonary Metastatic Calcification
강은해,김은선,김철환,Soo-Youn Ham,오유환 대한영상의학회 2008 Korean Journal of Radiology Vol.9 No.2
Metastatic pulmonary calcification refers to calcium deposition in the normal pulmonary parenchyma and this deposition is secondary to abnormal calcium metabolism. The most common radiologic manifestation consists of poorlydefined nodular opacities that are mainly seen in the upper lung zone. We present here a case of metastatic pulmonary calcification that manifested as atypical, dense, calcium deposition in airspaces within the previously existing consolidation in the bilateral lower lobes, and this process was accelerated by pneumoniacomplicated sepsis in a patient with hypercalcemia that was due to hyperparathyroidism.
파미드로네이트 불응성 다발 장기 전이성 석회화를 동반한 고칼슘혈증
배기범 ( Gi Bum Bae ),은정수 ( Jung Su Eun ),김나리 ( Na Ri Kim ),임철현 ( Churl Hyun Im ),남언정 ( Eon Jeong Nam ),강영모 ( Young Mo Kang ) 대한내과학회 2013 대한내과학회지 Vol.85 No.5
Paget`s disease of bone (PDB) is a disorder featuring high-level bone turnover associated with the presence of disorganized and immature bone tissue with excessive levels of fibrosis. The risk of deformity is very high. The etiology of PDB is not well understood, but includes both genetic and environmental factors among which is bone trauma. Hypercalcemia can occur as a complication of PDB in patients who are immobilized and dehydrated. However, to date, no case of severe hypercalcemia with metastatic calcifications in multiple organs has been reported in any PDB patient. The drugs of choice for treatment of PDB are bisphosphonates. These drugs effectively suppress bone turnover. Patients with extensive PDB may require higher doses of bisphosphonates, and acquired resistance to a particular bisphosphonate may be overcome by use an alternative drug. Here, we report a case of suspicion of PDB. The patient presented with hypercalcemia and metastatic calcifications and his condition improved dramatically after treatment with zoledronic acid. (Korean J Med 2013;85:545-550)