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Chulalongkorn Medical Journal

Abstract

Uremic tumoral calcinosis is primarily found in patients with chronic kidney disease(CKD) or end-stage renal disease (ESRD). Its clinical and radiologic presentations are highlycharacteristic. We herein report a case of a 33-year-old Thai male with ESRD and tertiaryhyperparathyroidism. He presented with multiple cystic nodules on the right shoulder, hands,and feet without causing joint destruction for 2 years. The plain radiographs of the rightshoulder and hands showed the pathognomonic “sedimentation sign”. The patient underwentsubtotal parathyroidectomy, as a result, the masses significantly decreased in size 3 monthslater. This case should increase the awareness among dermatologists and internists in thediagnosis and management of this rare disorder.

Publisher

Faculty of Medicine, Chulalongkorn University

First Page

621

Last Page

627

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