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| 증례 : 혈액 투석 환자에서 발생한 전이성 폐 석회화증 1 예 (A Case of Metastatic Pulmonary Calcification in Longc - Term Hemodialysis Patient) |
| 김은수(Eun Soo Kim),이윤정(Yoon Jung Lee),노양원(Yang Won Roh),오준(Joon Oh),이기영(Ki Young Lee),차미경(Mi Kyung Cha),류근신(Keun Shin Yu),이한경(Han Kyung Lee),이종호(Jong Ho Lee) |
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| Abstract |
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Metastatic pulmonary calcification is a well-known complication of chronic renal failure, especially in patients undergoing maintenance hemodialysis. Although pulmonary calcification is found in most end- stage renal disease patients at autopsy, it is only rarely detected during life. Patients may even have severe abnor malities of pulmonary function without clear evidence of calcification on chest X-ray examination. Because the calcifications are only occasionally visible on plain films, tomography or radionuclide scanning are more helpful for the detection of pulmonary calcification. We report a patient on maintenance hemodialysis, who developed exertional dyspnea with abnormal chest X-ray findings. The areas of air-space filling on the chest X-ray corresponded to the areas of pulmonary calcification on HRCT, which was confirmed by transbronchial lung biopsy. Supportive treatment consisted of frequent hernodialysis with low calcium dialysate, administration of aluminum hydroxide and calcitriol, and clinical and radiological improvement were obtained. |
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