title: Nonfamilial hyperphosphatemic tumoral calcinosis with ulnar neuropathy.
abstract: We present a case of multiple large juxta-articular painless masses involving both the elbows and right hip in a 27-year old south Asian male who presented with ulnar neuropathy and constitutional symptoms. Radiology, blood investigations and biopsy confirmed it to be hyperphosphatemic tumoral calcinosis. Patient was also diagnosed with an extremely rare association, testicular microlithiasis. Complete surgical excision with low phosphate diet resulted in complete neurological recovery and no recurrence at 30 months. Tumoral calcinosis should be considered in the differential diagnosis of a case with multiple, symptomatic juxta-articular masses.
authors.affiliation: Department of Orthopaedic Surgery, B.Y.L Nair Hospital, A.L Nair Road, Mumbai Central, Mumbai 400008, India. gautams10@gmail.com
authors.forename: Gautam M
authors.initials: GM
authors.lastname: Shetty
authors.forename: Ashok Shyam
authors.initials: AS
authors.lastname: Murari
authors.forename: Shrenik V
authors.initials: SV
authors.lastname: Shah
authors.forename: Sushil
authors.initials: S
authors.lastname: Dhengle
mesh_terms: D000328:Adult; D002114:Calcinosis / Q000097:blood / Q000175:diagnosis* / Q000628:therapy; D004551:Elbow Joint / Q000473:pathology* / Q000601:surgery; D006621:Hip Joint / Q000473:pathology* / Q000601:surgery; D006801:Humans; D054559:Hyperphosphatemia / Q000097:blood / Q000473:pathology* / Q000628:therapy; D020347:Lithiasis / Q000000981:diagnostic imaging / Q000473:pathology; D008297:Male; D016226:Phosphorus, Dietary / Q000008:administration & dosage; D013733:Testicular Diseases / Q000000981:diagnostic imaging / Q000473:pathology; D020424:Ulnar Neuropathies / Q000473:pathology* / Q000503:physiopathology / Q000601:surgery; D014463:Ultrasonography
chemical_list: D016226:Phosphorus, Dietary