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"Recurrent subcutaneous and vascular calcification in peritoneal dialysis patientRunning title: recurrent subcutaneous and vascular calcification in CAPD patientHyun Woo Kim,Da Yeong Kang, Jong In Choi, Byung Chul Shin, Jong Hoon Chung and Hyun Lee KimDepartment of Internal Medicine, Division of Nephrology, Chosun University Medical School, Gwangju, Republic of Korea AbstractSubcutaneous and vascular calcificationsare complication of chronic kidney disease characterized by calcification of the small arteries and tissue. A case of a 30-year-old female was end stage renal disease due to diabetic nephropathy and prescribed peritoneal dialysis treatment regimen for 4 years. At her monthly clinic visit, she complained of burning sensation in the fingers of right hands with limited fine motor movement due to edema and severe pain. A presumptive diagnosis of subcutaneous and vascular calcification led to hospital admission with confirmation by X-ray of her hands. She was continued to peritoneal dialysis with low calcium diet, aggressive reduction in phosphorus, diet counseling, use of cinacalcet, and threemonths of intravenous sodium thiosulfate infusion three times for week. After 4 months, she complained of palpable mass in right fifth toe with pain. Foot X-ray shows a subcutaneous calcification. Also, sodium thiosulfate was infused two times per week for three 3 months. The patient's condition improved with resolution of symptoms and radiologic findings." |