title: Treatment of a soft tissue calcification in a patient receiving peritoneal dialysis.
abstract: Chronic Kidney Disease patients suffer from Mineral and Bone Disorder (CKD-MBD) leading to increased vascular and soft-tissue calcification. The prevalence of soft tissue calcification in dialysis patients is not well described, and most cases describe such calcifications in hemodialysis patients. We describe a case of a massive soft tissue calcification in the right gluteal region in a peritoneal dialysis patient. The patient had severe pain and were disabled. The treatment was converted to an intensive hemodialysis regimen with a minimal calcium load and high dose of cinacalcet. During the treatment, the calcification diminished rapidly from a diameter of 26.6 to 2.9 cm, and the patient symptoms were relieved, leaving the patient with no pain or restriction in mobilization.
authors.affiliation: Nephrology, Herlev Hospital, Herlev, Denmark.
authors.forename: Kristine
authors.initials: K
authors.lastname: Lindhard
authors.affiliation: Nephrology, Herlev Hospital, Herlev, Denmark.
authors.forename: Bo
authors.initials: B
authors.lastname: Broberg
authors.affiliation: Orthopaedics, Herlev Hospital, Herlev, Denmark.
authors.forename: Henrik
authors.initials: H
authors.lastname: Groenberg
authors.affiliation: Nephrology, Herlev Hospital, Herlev, Denmark.
authors.forename: Henrik
authors.initials: H
authors.lastname: Post Hansen
mesh_terms: D000368:Aged; D002118:Calcium / Q000378:metabolism*; D012080:Chronic Kidney Disease-Mineral and Bone Disorder / Q000209:etiology / Q000628:therapy*; D005260:Female; D006801:Humans; D010530:Peritoneal Dialysis / Q000009:adverse effects*; D051436:Renal Insufficiency, Chronic / Q000150:complications* / Q000628:therapy
chemical_list: D002118:Calcium
keywords: Bone disease; calcium and phosphate metabolism; cardiovascular; clinical nephrology; renal osteodystrophy