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Case Reports
. 2019 Mar-Apr;29(2):128-131.
doi: 10.4103/ijn.IJN_5_18.

Pulmonary Calcifications: Is it an Entity in the New World Dialysis Patient?

R Kauntia  1 , V Bhargava  1 , P Gupta  1 , D S Rana  1
Affiliations
Case Reports

Pulmonary Calcifications: Is it an Entity in the New World Dialysis Patient?

R Kauntia et al. Indian J Nephrol. 2019 Mar-Apr.

Abstract

Metastatic pulmonary calcification (MPC) has been described in the literature to affect up to 60% of dialysis patients. Several case series of MPC were described in 1960s and 1970s. Patients are generally asymptomatic or may present with acute respiratory distress. This entity is associated with up to 60% mortality. We hereby report a case of chronic kidney disease on maintenance hemodialysis who presented with unexplained recurrent dyspnea despite adequate hemodialysis. She was evaluated and found to have a rare presentation of calciphylaxis.

Keywords: Calcification; calciphylaxis; dialysis; pulmonary.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
(a) Chest X-ray showing bilateral lung infiltrates. (b) chest X-ray showing bilateral fluffy infiltrates
Figure 2
Figure 2
(a and b) High-resolution computed tomography of the chest revealed multiple hyperdense airspace infiltrates involving bilateral lung fields and enlarged mediastinal lymph nodes with calcification. (c) Lung biopsy showing of marked thickening of alveolar septa along with fibrosis and extensive calcification (H and E, ×200)
See this image and copyright information in PMC

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