title: Vascular calcification as a source of hand pain and weakness in a patient with end-stage renal failure.
abstract: This article describes a unique case of vascular calcification of the hands complicated by pain and weakness. The case demonstrates the interaction of the skeletal and renal systems and the consequences of an unrecognized imbalance of calcium and phosphorus metabolism. Definitive medical management to keep the calcium-phosphate product below 70 through the judicious use of aluminum phosphate binders and diet should be coordinated to prevent and limit the extent of these calcifications.
authors.affiliation: Department of Orthopaedic Surgery, University of Pennsylvania Hand Center, Philadelphia, USA.
authors.forename: R J
authors.initials: RJ
authors.lastname: Naranja
authors.forename: D J
authors.initials: DJ
authors.lastname: Bozentka
authors.forename: P
authors.initials: P
authors.lastname: Chan
authors.forename: F W
authors.initials: FW
authors.lastname: Bora
mesh_terms: D002114:Calcinosis / Q000150:complications* / Q000209:etiology; D002118:Calcium / Q000378:metabolism; D006225:Hand; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications* / Q000378:metabolism; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000209:etiology*; D010758:Phosphorus / Q000378:metabolism
chemical_list: D010758:Phosphorus; D002118:Calcium