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Uremic Tumoral Calcinosis around the Hip Joint in a Patient on Hemodialysis
Hip & Pelvis 2014³â 26±Ç 1È£ p.55 ~ p.61
¼À¯¼º(Suh You-Sung) - ¼øõÇâ´ëÇб³ ÀÇ°ú´ëÇÐ ¼¿ïº´¿ø Á¤Çü¿Ü°úÇб³½Ç
ÃÖÇü¼®(Choi Hyung-Suk) - ¼øõÇâ´ëÇб³ ÀÇ°ú´ëÇÐ ¼¿ïº´¿ø Á¤Çü¿Ü°úÇб³½Ç
ÃÖ¼º¿ì(Choi Sung-Woo) - ¼øõÇâ´ëÇб³ ÀÇ°ú´ëÇÐ ¼¿ïº´¿ø Á¤Çü¿Ü°úÇб³½Ç
±è¿ë¹ü(Kim Yong -Beom) - ¼øõÇâ´ëÇб³ ÀÇ°ú´ëÇÐ ¼¿ïº´¿ø Á¤Çü¿Ü°úÇб³½Ç
À庴¿õ(Chang Byung-Woong) - ¼øõÇâ´ëÇб³ ÀÇ°ú´ëÇÐ ¼¿ïº´¿ø Á¤Çü¿Ü°úÇб³½Ç
¼±â¿ø(Seo Gi-Won) - ¼øõÇâ´ëÇб³ ÀÇ°ú´ëÇÐ ¼¿ïº´¿ø Á¤Çü¿Ü°úÇб³½Ç
Abstract
Á¾¾ç¼º ¼®È¸ÁõÀº °í°üÀý, °ß°üÀý, ÁÖ°üÀý°ú °°Àº Å« °üÀý ÁÖº¯ÀÇ ¿¬ºÎÁ¶Á÷¿¡ Ä®½·¿°ÀÌ Ä§ÂøµÇ´Â ¸Å¿ì µå¹® ÁúȯÀÌ´Ù. ¹ß»ý¿øÀο¡ ´ëÇÏ¿©´Â ¾ÆÁ÷±îÁö ¸íÈ®ÇÏ°Ô ¹àÇôÁø ¹Ù´Â ¾øÀ¸³ª ½ÅÀåÀÇ ±ÙÀ§ ¼¼´¢°ü¿¡¼ ÀÎÀÇ ´ë»ç Àå¾Ö°¡ ¿øÀÎÀ̶ó´Â °¡¼³ÀÌ ÀÖ°í, ¸¸¼º ½ÅÁúȯÀ̳ª ºÎ°©»ó¼± ±â´ÉÇ×ÁøÁõ°ú °°Àº ÁúȯÀÌ ¿øÀÎÀÌ µÉ ¼öµµ ÀÖ´Ù. Ç÷¾× Åõ¼®À» ÇÏ´Â ¸¸¼º ½ÅºÎÀü ȯÀÚ¿¡¼ ¹ß»ýÇÑ ¼Ó¹ß¼º Á¾¾ç¼º ¼®È¸Áõ, À̸¥¹Ù ¿äµ¶¼º Á¾¾ç¼º ¼®È¸Áõ¿¡ ´ëÇØ ¼ö¼úÀû ÀýÁ¦¼ú ÈÄ °á°ú¿¡ ´ëÇÏ¿© º¸°íÇÑ ¿¹´Â ±¹³»¿¡¼´Â ¾ø´Â ½ÇÁ¤ÀÌ´Ù. ÀúÀÚµéÀº °í°üÀýºÎ ÁÖÀ§ Á¾±«¸¦ ÁÖ¼Ò·Î ³»¿øÇÑ, Ç÷¾× Åõ¼® ÁßÀÎ 57¼¼ ¿©ÀÚ È¯ÀÚ¿¡¼ ´Ü¼ø ¹æ»ç¼±, ÀÚ±â°ø¸í¿µ»ó ¹× Àü»êÈ´ÜÃþ ÃÔ¿µ»ó ¿äµ¶¼º Á¾¾ç¼º ¼®È¸ÁõÀ» Áø´ÜÇÏ°í ÀýÁ¦¼ú ÈÄ Ãß½ÃÇÏ¿© ÀÓ»óÀûÀ¸·Î ¸¸Á·ÇÒ ¸¸ÇÑ °á°ú¸¦ ¾ò¾ú±â¿¡ ¹®Çå°íÂû°ú ÇÔ²² º¸°íÇÏ°íÀÚ ÇÑ´Ù.
The term tumoral calcinosis in used to describe the deposition of nodular calcareous masses in the soft tissue around large joints, such as the hips, shoulders, and elbows. Although the cause has not yet been clearly determined, according to the hypothesis, failure of phosphorus metabolism in the proximal tubule in kidney, chronic renal disease and hyperparathyroidism may cause tumoral calcinosis. No cases of tumoral calcinosis treated with surgical resection in chronic renal failure patients on hemodialysis, so called uremic tumoral calcinosis, have been reported in Korea. The authors experienced the case of a 57-year-old woman with chronic kidney disease on hemodialysis who presented with a mass around the hip. We made a diagnosis using plain radiographs, magnetic resonance imaging, and computed tomography of tumoral calcinosis, and treated the patient successfully with surgical resection. We report on a case of uremic tumoral calcinosis with a review of the literature.
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Á¾¾ç¼º ¼®È¸Áõ, °í°üÀýºÎ, Ç÷¾× Åõ¼®
Tumoral calcinosis, Hip, Hemodialysis
KMID :
1028220140260010055
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