title: Tumoral calcinosis, calciphylaxis, hyperparathyroidism and tuberculosis in a dialysis patient.
abstract: Tumoral calcinosis and calciphylaxis are uncommon but severe complications in uremic patients. They occur generally after long-term hemodialysis (HD) treatment explained by advanced secondary hyperparathyroidism and longstanding high calcium phosphorus product (Ca × P). Other factors such granulomatous diseases may worsen the calcium phosphate homeostasis alterations. We report a young male patient treated by HD for 6 years who developed tuberculosis in addition to tumoral calcinosis and calciphylaxis.
authors.affiliation: Department of Nephrology, Hedi Chaker Hospital, Sfax, Tunisia. KhwalaKammoun2002@yahoo.fr
authors.forename: Khawla
authors.initials: K
authors.lastname: Kammoun
authors.forename: Faical
authors.initials: F
authors.lastname: Jarraya
authors.forename: Mohamed Ben
authors.initials: MB
authors.lastname: Hmida
authors.forename: Abedelmajid
authors.initials: A
authors.lastname: Khebir
authors.forename: Mahmoud
authors.initials: M
authors.lastname: Kharrat
authors.forename: Tahia
authors.initials: T
authors.lastname: Boudawara
authors.forename: Jamel
authors.initials: J
authors.lastname: Mnif
authors.forename: Jamil
authors.initials: J
authors.lastname: Hachicha
mesh_terms: D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D015415:Biomarkers / Q000097:blood; D002114:Calcinosis / Q000097:blood / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D002115:Calciphylaxis / Q000097:blood / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D002118:Calcium / Q000097:blood; D006801:Humans; D006961:Hyperparathyroidism / Q000097:blood / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D007676:Kidney Failure, Chronic / Q000628:therapy*; D008297:Male; D016105:Parathyroidectomy; D014395:Peritonitis, Tuberculous / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D010710:Phosphates / Q000097:blood; D006435:Renal Dialysis / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000995:Antitubercular Agents; D015415:Biomarkers; D010710:Phosphates; D002118:Calcium