Extensive vascular calcification in diabetic uremic patient

Shang-Feng Tsai MD, Kuo-Hsiung Shu MD
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Abstract

biopsy was performed for diagnosis. Many other diagnostic tools are available, such as plain X-ray, computed tomography (CT), and the aortic calcification index. Here we present a 72-yearold man with uremia who had been undergoing hemodialysis for 20 years; he was admitted owing to fever and poor wound healing. The role of skin biopsy is debated, due to poor wound healing and potential sepsis, and we

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糖尿病尿毒症患者血管广泛钙化
Oliver Kirschberg等人最近报道了尿毒症中的尿毒症钙化动脉病变。许多其他的诊断工具是可用的,如普通x线,计算机断层扫描(CT)和主动脉钙化指数。在这里,我们报告一位72岁的尿毒症患者,他接受了20年的血液透析;他因发烧和伤口愈合不良而入院。由于伤口愈合不良和潜在的败血症,皮肤活检的作用存在争议,我们在没有皮肤活检的情况下通过x线平片诊断了典型的钙化反应。他的冠状动脉Agatston钙评分只有117.9。实验室数据如下:总钙9.1 mg/dL,磷酸盐8 mg/dL,完整甲状旁腺激素(PTH) 400 pg/mL。x线片有助于区分内膜钙化和内侧钙化动脉粥样硬化前者呈斑块状,后者呈周状。胸部和手部放射检查显示桡动脉(图1-3,黑色箭头)、尺动脉(白色箭头)、掌指动脉(黑色箭头)和掌深弓(白色箭头)广泛钙化。在目前的文献中,很难找到这样“生动”的小器皿在手中的描述。颈椎x线片示双侧颈总动脉钙化呈圆周型。我们建议首先进行x光诊断,因为它的低成本和高可用性。
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来源期刊
Dialysis & Transplantation
Dialysis & Transplantation 医学-工程:生物医学
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