Hand Infections in End-Stage Renal Disease-Consider Tumoral Calcinosis.
| Autor: | Goza SD; Division of Plastic and Reconstructive Surgery, University of Mississippi Medical Center, Jackson, MS., Lebhar MS; Division of Plastic and Reconstructive Surgery, University of Mississippi Medical Center, Jackson, MS., Sullivan JM; Division of Plastic and Reconstructive Surgery, University of Mississippi Medical Center, Jackson, MS., Waetjen E; Division of Plastic and Reconstructive Surgery, University of Mississippi Medical Center, Jackson, MS., Walker ME; Division of Plastic and Reconstructive Surgery, University of Mississippi Medical Center, Jackson, MS. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of hand surgery global online [J Hand Surg Glob Online] 2024 Jun 05; Vol. 6 (4), pp. 590-592. Date of Electronic Publication: 2024 Jun 05 (Print Publication: 2024). |
| DOI: | 10.1016/j.jhsg.2024.05.005 |
| Abstrakt: | Tumoral calcinosis (TC) is a rare condition defined by the accumulation of calcium salts in soft tissues surrounding joints, most commonly large joints. Chronic joint inflammation in the setting of local hyperphosphatemia leads to interruption and dysfunction of tissue repair and generates breakdown products that subsequently calcify and accumulate. We present a case of a 42-year-old man with a history of end-stage renal disease on dialysis presenting to the clinic with a painless digital mass of his right long finger at the proximal interphalangeal joint. Our initial impression was a splinter abscess based on presentation and patient history. Although our patient's presentation of traumatic, painless TC of the hand secondary to end-stage renal disease is rare, the pathogenic mechanisms behind TC support this presentation. The authors recommend including TC within the differential of presentations similar to that of chronic abscess or giant cell tumor, especially when their medical history includes end-stage renal disease. Competing Interests: No benefits in any form have been received or will be received related directly to this article. (© 2024 The Authors.) |
| Databáze: | MEDLINE |
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