一名血液透析七年的患者颌骨纤维瘤钙化。

Q3 Medicine European journal of case reports in internal medicine Pub Date : 2024-09-03 eCollection Date: 2024-01-01 DOI:10.12890/2024_004850
Wachid Putranto, Yeremia Suryo Pratama, Krisandryka Krisandryka, Eko Adi Pangarso, Meira Dewi Kusuma Astuti, Nurhasan Agung Prabowo
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引用次数: 0

摘要

背景:慢性肾脏病(CKD)患者矿物质骨紊乱(MBD)的表现可能各不相同。因此,当怀疑存在这种情况时,医生应具备识别能力。本病例报告将描述作为慢性肾脏病-MBD 表现的上颌骨钙化瘤:一名 32 岁的女性最初没有症状,后来出现左上颌骨进行性肿胀。她有常规血液透析史。进一步的实验室、放射学和组织病理学检查显示,肿块确实是钙化的上颌骨纤维瘤,由 CKD-MBD 引起:本研究强调了临床理解 CKD-MBD 广泛表现的重要性,包括最初无症状的肿块。此外,还需要对患者的生化指标进行筛查,以确定早期干预的必要性,改善患者的预后:本病例强调了识别慢性肾脏病-矿物质骨病(CKD-MBD)非典型表现(如钙化肿块)的重要性,这种非典型表现很少被报道,但对及时干预却至关重要。本报告强调了对CKD患者进行继发性甲状旁腺功能亢进症常规筛查的必要性,因为早期发现可显著影响患者的预后。
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Calcified Maxillary Fibroma in a Patient on Hemodialysis for Seven Years.

Background: The presentation of mineral bone disorder (MBD) in individuals with chronic kidney disease (CKD) may vary. Consequently, physicians should be capable of recognising this condition when there is a suspicion of its existence. This case report will describe a calcified maxilla tumour as a manifestation of CKD-MBD.

Case description: Initially asymptomatic, a 32-year-old female presented with progressive swelling of the upper left jaw. She had a history of routine haemodialysis. Further laboratory, radiological, and histopathological workup revealed the mass was indeed calcified maxillary fibroma arising from the manifestation of CKD-MBD.

Conclusion: This study underscores the significance of clinical comprehension of the broad-spectrum manifestations of CKD-MBD, including an initially asymptomatic mass. In addition, the screening of the patient's biochemical was required to determine the necessity of early intervention and improve the patient's outcome.

Learning points: The case emphasises the importance of recognising atypical presentations of chronic kidney disease-mineral bone disorder (CKD-MBD), such as a calcified mass, which are rarely reported but critical for timely intervention.This report underscores the necessity for routine screening for secondary hyperparathyroidism in CKD patients, as early detection can significantly impact patient outcomes.Surgical management of the overlying mass and underlying parathyroid gland hyperplasia should always be considered in the management of the symptomatic CKD-MBD patient.

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来源期刊
CiteScore
2.10
自引率
0.00%
发文量
166
审稿时长
8 weeks
期刊介绍: The European Journal of Case Reports in Internal Medicine is an official journal of the European Federation of Internal Medicine (EFIM), representing 35 national societies from 33 European countries. The Journal''s mission is to promote the best medical practice and innovation in the field of acute and general medicine. It also provides a forum for internal medicine doctors where they can share new approaches with the aim of improving diagnostic and clinical skills in this field. EJCRIM welcomes high-quality case reports describing unusual or complex cases that an internist may encounter in everyday practice. The cases should either demonstrate the appropriateness of a diagnostic/therapeutic approach, describe a new procedure or maneuver, or show unusual manifestations of a disease or unexpected reactions. The Journal only accepts and publishes those case reports whose learning points provide new insight and/or contribute to advancing medical knowledge both in terms of diagnostics and therapeutic approaches. Case reports of medical errors, therefore, are also welcome as long as they provide innovative measures on how to prevent them in the current practice (Instructive Errors). The Journal may also consider brief and reasoned reports on issues relevant to the practice of Internal Medicine, as well as Abstracts submitted to the scientific meetings of acknowledged medical societies.
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