Metastatic calcinosis cutis in a dialysis patient

  • Nabeel Bapoo Life Vincent Pallotti Hospital, Cape Town, South Africa
  • Mogamat-Yazied Chothia Division of Nephrology, Department of Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University and Tygerberg Hospital, Cape Town, South Africa
  • Piers A Stead Life Vincent Pallotti Hospital, Cape Town, South Africa
  • Ismail Ally Tygerberg Hospital, Cape Town, South Africa

Abstract

Metastatic calcinosis cutis is an uncommon complication of end-stage kidney disease but has severe and disabling effects. Its development is attributed to disorders of calcium and phosphate metabolism associated with secondary hyperparathyroidism. The mainstay of treatment remains medical therapy; however, in refractory cases a parathyroidectomy is indicated. We describe the case of a 22-year-old female with refractory hyperparathyroidism treated with a subtotal parathyroidectomy resulting in complete resolution of metastatic calcinosis cutis of the hands. Clinicians should be aware that this complication can occur soon after the initiation of dialysis and that rapid complete resolution can be achieved with parathyroidectomy.

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Published
2023-04-05
How to Cite
Bapoo, Nabeel, Mogamat-Yazied Chothia, Piers A Stead, and Ismail Ally. 2023. “Metastatic Calcinosis Cutis in a Dialysis Patient ”. African Journal of Nephrology 26 (1), 50-52. https://doi.org/10.21804/26-1-5281.
Section
Images in Nephrology