Kauntia R, Bhargava V, Gupta P, Rana D S
Department of Nephrology and Pathology, Sir Ganga Ram Hospital, New Delhi, India.
Indian J Nephrol. 2019 Mar-Apr;29(2):128-131. doi: 10.4103/ijn.IJN_5_18.
Metastatic pulmonary calcification (MPC) has been described in the literature to affect up to 60% of dialysis patients. Several case series of MPC were described in 1960s and 1970s. Patients are generally asymptomatic or may present with acute respiratory distress. This entity is associated with up to 60% mortality. We hereby report a case of chronic kidney disease on maintenance hemodialysis who presented with unexplained recurrent dyspnea despite adequate hemodialysis. She was evaluated and found to have a rare presentation of calciphylaxis.
转移性肺钙化（MPC）在文献中被描述为影响多达60%的透析患者。20世纪60年代和70年代描述了几个MPC的病例系列。患者通常无症状，或可能出现急性呼吸窘迫。这种情况的死亡率高达60%。我们在此报告一例维持性血液透析的慢性肾脏病患者，尽管进行了充分的血液透析，但仍出现原因不明的反复呼吸困难。对她进行评估后发现她有一种罕见的钙化防御表现。
