title: Severe metastatic calcifications in a hemodialysis patient.
abstract: Tissue calcification is a common complication in patients on continuous hemodialysis (HD) for chronic renal failure; however, severe calcification is unusual. Three distinct clinical types of extraosseous calcifications are found in uremic patients: vascular calcification, periarticular (tumoral) calcification, and visceral calcification (heart, lung, and kidney). We report a case of a young chronic HD patient who presented with extensive metastatic calciﬁ cations both vascular, visceral specially localized in the lungs, and periarticular with progressively increasing multiple subcutaneous swellings. This evolution was secondary to noncompliance of the patient to the treatment of a malignant hyperparathyroidism with a marked elevation of phosphocalcium product.
authors.affiliation: Department of Internal Medicine, Military Hospital, Mont Fleury, Tunis, Tunisia.
authors.forename: Jannet
authors.initials: J
authors.lastname: Labidi
authors.affiliation: Department of Internal Medicine, Military Hospital, Mont Fleury, Tunis, Tunisia.
authors.forename: Yosra Ben
authors.initials: YB
authors.lastname: Ariba
authors.affiliation: Intensive Care Unit, Military Hospital, Mont Fleury, Tunis, Tunisia.
authors.forename: Abdelkader Ben
authors.initials: AB
authors.lastname: Gabsia
authors.affiliation: Department of Internal Medicine, Military Hospital, Mont Fleury, Tunis, Tunisia.
authors.forename: Faida
authors.initials: F
authors.lastname: Ajili
authors.affiliation: Department of Internal Medicine, Military Hospital, Mont Fleury, Tunis, Tunisia.
authors.forename: Riadh
authors.initials: R
authors.lastname: Battikh
authors.affiliation: Department of Internal Medicine, Military Hospital, Mont Fleury, Tunis, Tunisia.
authors.forename: Bassem
authors.initials: B
authors.lastname: Louzir
authors.affiliation: Department of Internal Medicine, Military Hospital, Mont Fleury, Tunis, Tunisia.
authors.forename: Nadia Ben
authors.initials: NB
authors.lastname: Abdelhafidh
authors.affiliation: Department of Internal Medicine, Military Hospital, Mont Fleury, Tunis, Tunisia.
authors.forename: Saleh I
authors.initials: SI
authors.lastname: Othman
mesh_terms: D002114:Calcinosis; D006801:Humans; D006962:Hyperparathyroidism, Secondary; D007676:Kidney Failure, Chronic; D006435:Renal Dialysis