Diffuse hepatocellular calcification developing in a patient on chronic hemodialysis after ischemic hepatitis.
Diffuse hepatic calcification is a rare condition. Previous reports have described patients with end-stage renal disease who developed diffuse hepatic calcification after ischemic hepatitis caused by shock. We herein present a similar case. A 41-year-old man on chronic hemodialysis developed ischemic hepatitis due to shock induced by ventricular tachycardia, followed by progressive hepatic failure. Necropsy of the liver revealed diffuse hepatocellular calcification. Given the similarity by which our case and previously reported cases developed this rare condition, we postulate that chronic renal failure is involved in the pathogenesis of diffuse hepatic calcification.
Kinjo
Kazushi
K
Department of Internal Medicine, Okinawa Prefectural Hokubu Hospital, Okinawa. keikinjo@cosmos.ne.jp
Yamashiro
Masaaki
M
Akamine
Katsunari
K
Kinjo
Mitsuyo
M
Oshiro
Mariko
M
D000328:Adult; D002114:Calcinosis / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology; D006505:Hepatitis / Q000209:etiology*; D006801:Humans; D007511:Ischemia / Q000150:complications*; D007676:Kidney Failure, Chronic / Q000150:complications* / Q000628:therapy; D008099:Liver / Q000098:blood supply* / Q000473:pathology; D008107:Liver Diseases / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology; D008297:Male; D006435:Renal Dialysis; D012769:Shock / Q000150:complications