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.
Faculty of Medicine, Chulalongkorn University
Kumtornrut, Chanat; Numkarunarunrote, Numphung; and Rerknimitr, Pawinee
"Uremic tumoral calcinosis, report of a rare case atKing Chulalongkorn Memorial Hospital,"
Chulalongkorn Medical Journal: Vol. 58:
6, Article 5.
Available at: https://digital.car.chula.ac.th/clmjournal/vol58/iss6/5