http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
Tumoral calcinosis and calciphylaxis treated with subtotal parathyroidectomy and sodium thiosulphate
Cho, Hyunjeong,Yi, Yongjin,Kang, Eunjeong,Park, Seokwoo,Cho, Eun Jin,Cho, Sung Tae,Chun, Rho Won,Lee, Kyu Eun,Oh, Kook-Hwan Yeungnam University College of Medicine 2016 Yeungnam University Journal of Medicine Vol.33 No.1
Tumoral calcinosis (TC) is a condition resulting from extensive calcium phosphate precipitation, primarily in the periarticular tissues around major joints. Calciphylaxis is a fatal ischemic vasculopathy mainly affecting dermal blood vessels and subcutaneous fat. This syndrome is rare and predominantly occurs in patients with end-stage renal disease. Here, we report on a rare case involving a patient with TC complicated with calciphylaxis. Our patient was a 31-year-old man undergoing hemodialysis who presented with masses on both shoulders and necrotic cutaneous ulcers, which were associated with secondary hyperparathyroidism, on his lower legs. He underwent subtotal parathyroidectomy, and sodium thiosulfate (STS) was administered for 27 weeks. Twenty months after beginning the STS treatment course, he experienced dramatic relief of his TC and calciphylaxis.
Tumoral calcinosis and calciphylaxis treated with subtotal parathyroidectomy and sodium thiosulphate
( Hyunjeong Cho ),( Yongjin Yi ),( Eunjeong Kang ),( Seokwoo Park ),( Eun Jin Cho ),( Sung Tae Cho ),( Rho Won Chun ),( Kyu Eun Lee ),( Kook-hwan Oh ) 영남대학교 의과대학 2016 Yeungnam University Journal of Medicine Vol.33 No.1
Tumoral calcinosis (TC) is a condition resulting from extensive calcium phosphate precipitation, primarily in the periarticular tissues around major joints. Calciphylaxis is a fatal ischemic vasculopathy mainly affecting dermal blood vessels and subcutaneous fat. This syndrome is rare and predominantly occurs in patients with end-stage renal disease. Here, we report on a rare case involving a patient with TC complicated with calciphylaxis. Our patient was a 31-year-old man undergoing hemodialysis who presented with masses on both shoulders and necrotic cutaneous ulcers, which were associated with secondary hyperparathyroidism, on his lower legs. He underwent subtotal parathyroidectomy, and sodium thiosulfate (STS) was administered for 27 weeks. Twenty months after beginning the STS treatment course, he experienced dramatic relief of his TC and calciphylaxis.
Cho, Hyunjeong,Kim, Myoung-Hee,Kim, Hyo Jin,Park, Jae Yoon,Ryu, Dong-Ryeol,Lee, Hajeong,Lee, Jung Pyo,Lim, Chun-Soo,Kim, Kyoung Hoon,Oh, Kook-Hwan,Joo, Kwon Wook,Kim, Yon Su,Kim, Dong Ki International Society for Peritoneal Dialysis 2017 Peritoneal dialysis international Vol.37 No.1
<P>Conclusions: Compared with the CCI, the mCCI-IPD showed better performance in mortality prediction for incident PD patients. Therefore, this tool may be used as a preferred index for statistical analysis and clinical decision-making.</P>
( Hyunjeong Cho ),( Soon Kil Kwon ),( Seung Woo Lee ),( Yu Mi Yang ),( Hye Young Kim ),( Sun Moon Kim ),( Tae-young Heo ),( Chang Hwan Seong ),( Kyeong Rok Kim ) 대한전해질학회 2023 Electrolytes & Blood Pressure Vol.21 No.2
Background: Most hemodialysis (HD) patients suffer from hypertension and have a heightened cardiovascular risk. While blood pressure (BP) control is essential to end-stage kidney disease (ESKD) patients, overly stringent control can lead to intradialytic hypotension (IDH). This study aimed to examine BP variations during and after HD to determine whether these variations correlate with IDH risk. Methods: BP measurements during dialysis were taken from 28 ESKD patients, and ambulatory BP monitoring was applied post-dialysis. Laboratory parameters and risk factors, including diabetes, coronary disease, and LV mass index, were compared between IDH and non-IDH groups using an independent t-test. Results: Of the 28 patients with an average age of 57.4 years, 16 (57.1%) had diabetes, 5 (17.9%) had coronary artery disease, and 1 (3.6%) had cerebrovascular disease. The mean systolic blood pressure (SBP) during and post-HD was 142.26 mmHg and 156.05mmHg, respectively (p=0.0003). Similarly, the mean diastolic blood pressure (DBP) also demonstrated a significant increase, from 74.59mmHg during HD to 86.82mmHg post-HD (p<0.0001). Patients with IDH exhibited a more substantial SBP difference (delta SBP, 36.38 vs. 15.07 mmHg, p=0.0033; age-adjusted OR=1.58, p=0.0168) and a lower post-dialysis BUN level (12.75 vs. 18.77mg/dL, p=0.0015; age-adjusted OR=0.76, p=0.0242). No significant variations were observed in daytime and nocturnal BP between the IDH and non-IDH groups. Conclusion: Hemodialysis patients exhibited a marked increase in post-dialysis BP and lacked a nocturnal BP dip, suggesting augmented cardiovascular risks. This highlights the importance of more stringent BP control after hemodialysis.