Development of Proximal Calciphylaxis with Penile Involvement after Parathyroidectomy in a Patient on Hemodialysis

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概要

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• Elevated parathyroid hormone (PTH) levels and hyperphosphatemia are thought to be associated with the development of calciphylaxis. We report a patient on hemodialysis who developed proximal calciphylaxis with consistently low PTH levels after parathyroidectomy. A 31-year-old man was admitted to our hospital because of abdominal skin ulcerations. Calciphylaxis spread to the penis, and simultaneous progressive lung calcification was evident on chest X-ray, suggestive of pulmonary calciphylaxis on 99mTc-methylene disphosphonate scintigraphy. The patient died of respiratory failure despite intensive treatment including hyperbaric oxygen therapy. This is the first report of a patient on hemodialysis who developed calciphylaxis involving the penis after parathyroidectomy.

• 社団法人　日本内科学会の論文
• 2004-01-01

著者

• YASUDA Hiroshi

  Department of Neurosurgery, Hokkaido University Graduate School of Medicine

• Anai Hirofumi

  Second Department Of Internal Medicine University Of Occupational And Environmental Health School Of

• Nakashima Yasuhide

  Second Department of Internal Medicine, School of Medicine, University of Occupational and Environme

• Nakamoto Masahiko

  Kidney Center Saiseikai Yahata Hospital

• Nakamoto Masahiko

  Kidney Center Saiseikai Yahata General Hospital

• OIKAWA Shigeru

  Second Department of Internal Medicine University of Occupational and Environmental Health, School o

• OSAJIMA Akihiko

  Second Department of Internal Medicine University of Occupational and Environmental Health, School o

• TAMURA Masahito

  Second Department of Internal Medicine University of Occupational and Environmental Health, School o

• MURATA Kougi

  Department of Dermatology University of Occupational and Environmental Health, school of Medicine

• HABASHIMA Narutoshi

  Second Department of Internal Medicine University of Occupational and Environmental Health, School o

• MATSUSHIMA Yoshiyuki

  Matsushima Clinic

• Murata Kougi

  Department Of Dermatology University Of Occupational And Environmental Health School Of Medicine

• Oikawa Shigeru

  Second Department Of Internal Medicine University Of Occupational And Environmental Health School Of

• Nakashima Yasuhide

  Second Depadment Of Internal Medicine University Of Occupational And Environmental Health

• Osajima Akihiko

  Second Department Of Internal Medicine University Of Occupational And Environmental Health School Of

• Tamura Masahito

  Second Department Of Internal Medicine University Of Occupational And Environmental Health School Of

• Nakashima Yasuhide

  Second Department Of Internal Medicine University Of Occupational And Environmental Health School Of

• Habashima Narutoshi

  Second Department Of Internal Medicine University Of Occupational And Environmental Health School Of

• Yasuda Hiroshi

  Department Of Dermatology And Occupational Dermatopathology University Of Occupational And Environme

• Yasuda Hiroshi

  Department Of Dermatology University Of Occupational And Environmental Health School Of Medicine

• Yasuda Hiroshi

  Department Of Agricultural Chemistry Obihiro University Of Agriculture And Veterinary Medicine

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