Morbus Teutschländer - a massive soft-tissue calcification of the foot in a patient on long-term hemodialysis.
Morbus Teutschländer is a benign metabolic disorder involving soft-tissue masses near large joints and a rarely observed form of extraskeletal calcifications. For example, it is seen in patients with chronic renal failure, but in most cases it remains clinically silent. In a minority of patients, this soft-tissue calcification is responsible for complications. Various locations of calcium deposits have been characterized. Advanced age and increased calcium x phosphate product are some of the underlying reasons, but local factors are involved as well. Prevention should be preferred because the treatment is generally difficult. We describe the case of a morbus Teutschländer in a 58-year-old woman with chronic renal failure on hemodialysis presenting with a massive soft-tissue calcification of the foot with a compression of a cutaneous nerve secondary due to uremic tumoral calcinosis. The tumoral masses was successfully excised, and at the 1-year follow-up, the patient had no discomfort. Clinical and radiological features and treatment are discussed, and a review of soft-tissue calcifications is given.
Baums
Mike Herbert
MH
Department of Orthopaedic Surgery, KTE-Klinik Bad Hersfeld, Dr.-Ronge-Weg 10, 36251 Bad Hersfeld, Germany. mike.baums@freenet.de
Klinger
Hans-Michael
HM
Otte
Stephanie
S
D002114:Calcinosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D005528:Foot; D006801:Humans; D007676:Kidney Failure, Chronic / Q000175:diagnosis / Q000628:therapy*; D008134:Long-Term Care; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000379:methods; D011859:Radiography; D006435:Renal Dialysis / Q000009:adverse effects* / Q000379:methods; D018570:Risk Assessment; D012720:Severity of Illness Index; D012983:Soft Tissue Neoplasms / Q000209:etiology* / Q000473:pathology* / Q000601:surgery; D016896:Treatment Outcome