Nonfamilial hyperphosphatemic tumoral calcinosis with ulnar neuropathy

Abstract We present a case of multiple large juxta-articular painless masses involving both the elbows and right hip in a 27-year old south Asian male who presented with ulnar neuropathy and constitutional symptoms. Radiology, blood investigations and biopsy confirmed it to be hyperphosphatemic tumo...

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Veröffentlicht in:Joint, bone, spine : revue du rhumatisme bone, spine : revue du rhumatisme, 2009-03, Vol.76 (2), p.198-201
Hauptverfasser: Shetty, Gautam M, Murari, Ashok Shyam, Shah, Shrenik V, Dhengle, Sushil
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container_issue 2
container_start_page 198
container_title Joint, bone, spine : revue du rhumatisme
container_volume 76
creator Shetty, Gautam M
Murari, Ashok Shyam
Shah, Shrenik V
Dhengle, Sushil
description Abstract We present a case of multiple large juxta-articular painless masses involving both the elbows and right hip in a 27-year old south Asian male who presented with ulnar neuropathy and constitutional symptoms. Radiology, blood investigations and biopsy confirmed it to be hyperphosphatemic tumoral calcinosis. Patient was also diagnosed with an extremely rare association, testicular microlithiasis. Complete surgical excision with low phosphate diet resulted in complete neurological recovery and no recurrence at 30 months. Tumoral calcinosis should be considered in the differential diagnosis of a case with multiple, symptomatic juxta-articular masses.
doi_str_mv 10.1016/j.jbspin.2008.06.014
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Radiology, blood investigations and biopsy confirmed it to be hyperphosphatemic tumoral calcinosis. Patient was also diagnosed with an extremely rare association, testicular microlithiasis. Complete surgical excision with low phosphate diet resulted in complete neurological recovery and no recurrence at 30 months. 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Radiology, blood investigations and biopsy confirmed it to be hyperphosphatemic tumoral calcinosis. Patient was also diagnosed with an extremely rare association, testicular microlithiasis. Complete surgical excision with low phosphate diet resulted in complete neurological recovery and no recurrence at 30 months. Tumoral calcinosis should be considered in the differential diagnosis of a case with multiple, symptomatic juxta-articular masses.</abstract><cop>France</cop><pub>Elsevier SAS</pub><pmid>19073370</pmid><doi>10.1016/j.jbspin.2008.06.014</doi><tpages>4</tpages></addata></record>
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source MEDLINE; Access via ScienceDirect (Elsevier)
subjects Adult
Biopsy
Blood
Calcinosis
Calcinosis - blood
Calcinosis - diagnosis
Calcinosis - therapy
Differential diagnosis
Elbow
Elbow Joint - pathology
Elbow Joint - surgery
Hip
Hip Joint - pathology
Hip Joint - surgery
Humans
Hyperphosphatemia
Hyperphosphatemia - blood
Hyperphosphatemia - pathology
Hyperphosphatemia - therapy
Internal Medicine
Lithiasis - diagnostic imaging
Lithiasis - pathology
Male
Neuropathy
Nutrient deficiency
Phosphate
Phosphorus, Dietary - administration & dosage
Radiology
Rheumatology
Spine
Testes
Testicular Diseases - diagnostic imaging
Testicular Diseases - pathology
Testicular microlithiasis
Tumoral calcinosis
Ulnar Neuropathies - pathology
Ulnar Neuropathies - physiopathology
Ulnar Neuropathies - surgery
Ulnar neuropathy
Ultrasonography
title Nonfamilial hyperphosphatemic tumoral calcinosis with ulnar neuropathy
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