García Sebastián, Cofán Federico, Fernández de Retana Pablo, Sala Pedro, Oppenheimer Federico
Department of Orthopaedic Surgery, Hospital Clinic, University of Barcelona, Spain.
Foot Ankle Int. 2002 Mar;23(3):260-3. doi: 10.1177/107110070202300313.
Uremic tumoral calcinosis is an uncommon, benign condition characterized by slow-growing calcified periarticular soft tissue masses of varying size. We describe two patients with chronic renal failure on hemodialysis presenting uremic tumoral calcinosis, one in the fifth toe of the right foot and the other in the dorsum of the left foot between the first and second metatarsals. Excision of the calcic masses and parathyroidectomy were successfully performed in both patients. These cases are unusual in their rapid onset, mimicking acute infection. Differential diagnosis, radiological features and therapy are discussed.
尿毒症性肿瘤性钙化是一种罕见的良性疾病,其特征为大小不一、生长缓慢的钙化关节周围软组织肿块。我们描述了两名接受血液透析的慢性肾衰竭患者出现尿毒症性肿瘤性钙化,一例位于右脚第五趾,另一例位于左脚第一和第二跖骨之间的足背。两名患者均成功进行了钙化肿块切除及甲状旁腺切除术。这些病例起病迅速,类似急性感染,较为罕见。本文讨论了鉴别诊断、影像学特征及治疗方法。