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Nephrol Dial Transplant (2000) 15: 1691-1693
© 2000 European Renal Association-European Dialysis and Transplant Association

Case Reports

Tumoral calcinosis associated with pyrexia and systemic inflammatory response in a haemodialysis patient: successful treatment using intravenous pamidronate

Mysore K. Phanish1,, George Kallarackal2, Rommel Ravanan1, Tom M. Lawson2 and Keshwar Baboolal1

1 Departments of Nephrology and 2 Rheumatology, University Hospital of Wales, Cardiff, UK

Keywords: tumoral calcinosis; ectopic calcification; renal failure; bisphosphonates



   Introduction
 
Tumoral calcinosis is a recognized complication of end-stage renal failure [1]. We report a case of tumoral calcinosis associated with systemic inflammatory response that was successfully treated with bisphosphonates.



   Case
 
A 25-year-old patient with end-stage renal failure secondary to reflux nephropathy on maintenance haemodialysis for 8 years was admitted with pyrexia of 3 months duration. A live related renal transplantation from his mother was cancelled on two occasions because of fever of >37.5°C which was noticed on several occasions. His only other complaint was pain and limitation of movements of left shoulder and there were no other systemic symptoms.

Clinical examination revealed a swollen, tender left shoulder joint with limitation of movements in all directions. Systemic examination was otherwise normal. The investigations were as follows: haemoglobin 10.8 g/dl; white cell count 10.55x109/l; neutrophils 7.1x109. . . [Full Text of this Article]



   Discussion
 


   Notes
 


   References
 

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