Acute tumoral calcinosis due to severe hyperphosphatemia in a maintenance hemodialysis patient

CEN Case Reports
Keizo Nishime, Hiroki Takahashi

Abstract

We report the case of a maintenance hemodialysis patient with severe hyperphosphatemia (26.6 mg/dL) who developed acute tumoral calcinosis. The patient started receiving maintenance hemodialysis after being diagnosed with type 2 diabetes mellitus. The patient's phosphate levels suddenly increased. He had not taken the prescribed phosphate binders for the past 5 years. He noticed swelling of the palmar aspects of his right thumb, which was diagnosed as tumoral calcinosis. His serum phosphate level reached 26.6 mg/dL. He started taking medication to lower his serum phosphate levels. The patient had a long history of eating convenience foods. As food additives in convenience foods could be a major source of phosphate, the patient corrected this habit by replacing convenience foods with special foods for dialysis patients. His symptoms improved along with the decrease in his serum phosphate levels. The main reason for the abrupt decrease in phosphate levels could be the correction of his dietary habits. Therefore, phosphate levels in processed foods should be carefully considered in dialysis patients.

References

Nov 20, 1998·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·R N FoleyM J Sarnak
Sep 29, 2000·Circulation Research·S JonoC M Giachelli
May 20, 2003·Seminars in Dialysis·Jaime Uribarri, Mona S Calvo
Aug 27, 2003·Journal of the American Society of Nephrology : JASN·Gérard M London
Aug 28, 2007·Journal of Renal Nutrition : the Official Journal of the Council on Renal Nutrition of the National Kidney Foundation·Catherine M SullivanAshwini R Sehgal
Sep 26, 2008·Clinical Journal of the American Society of Nephrology : CJASN·Kerstin Amann
Dec 10, 2008·The American Journal of Clinical Nutrition·Christian S ShinabergerKamyar Kalantar-Zadeh
Jan 16, 2009·Kidney International·Cecilia M Giachelli
Mar 14, 2009·Proceedings of the Japan Academy. Series B, Physical and Biological Sciences·Yo-ichi Nabeshima
Apr 21, 2009·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Richard A Sherman, Ojas Mehta
Jan 23, 2010·Clinical Journal of the American Society of Nephrology : CJASN·Kamyar Kalantar-ZadehJoel D Kopple
Feb 23, 2011·Seminars in Dialysis·John T DaugirdasUNKNOWN Frequent Hemodialysis Network Trial Group

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