Kannan Subramanian, Ravikumar Latha, Mahadevan Shiraam, Natarajan Mayilvahanan, Satya Anjali, Bhat Rekha, Sriram Usha
Association of Clinical Endocrinology Education and Reasearch, Chennai, India.
Saudi J Kidney Dis Transpl. 2008 Nov;19(6):960-3.
A 50-year-old woman presented with recurrent calcified mass in the left gluteal region. The clinical, radiological, and biochemical profile confirmed the diagnosis of tumoral calcinosis. She also had associated vitamin D deficiency. The patient underwent surgical removal of the mass to relieve the sciatic nerve compression and was managed with acetazolamide, calcium carbonate, and aluminium hydroxide gel with which she showed significant improvement. The management implications and effect of vitamin D deficiency on phosphate metabolism in the setting of tumoral calcinosis is discussed.
一名50岁女性因左臀区域反复出现钙化肿块前来就诊。临床、放射学和生化检查结果确诊为肿瘤性钙化。她还伴有维生素D缺乏。患者接受了手术切除肿块以缓解坐骨神经受压，并使用乙酰唑胺、碳酸钙和氢氧化铝凝胶进行治疗，病情有显著改善。本文讨论了肿瘤性钙化背景下维生素D缺乏对磷代谢的管理意义及影响。
