Korean Journal of Veterinary Research 2005;45(3):445-450.
A case report of diagnosis and treatment of metastatic calcinosis circumscripta secondary to chronic renal failure
Seong-Jun Park, Hye-Yeon Park, So-Bun Jeon, Ho-Jung Choi, Seong-Mok Jeong, Kun-Ho Song, Jong-Ki Cho, Young-Won Lee, Sang-Tae Shin, Myung-Cheol Kim, Duck-Hwan Kim
College of Veterinary Medicine, Chungnam National University
만성 신부전에서 속발한 metastatic calcinosis circumscripta의 진단과 치료 1례
박성준, 박혜연, 전소분, 최호정, 정성목, 송근호, 조종기, 이영원, 신상태, 김명철, 김덕환
충남대학교 수의과대학
Abstract
A 1.35 kg, three-year-old, female, Yorkshire terrier was referred to the veterinary medical teaching hospital of Chungnam National University with an alopecia, scale, polydipsia and polyuria. During hospitalization, the patient revealed swelling and pain of all four foot pads. The hematology indicated nonregenerative anemia. Blood serum chemistry revealed elevation of BUN, serum creatinine and phosphorus contents. Radiographs of feet revealed increased radiodensity in the soft tissue of the foot pad. In ultrasonographs of abdomen, kidneys showed diffusely echodense renal cortex with loss of the normal corticomedullary boundary. Fine needle aspiration of the swollen pad cysts contained a amorphous basophillic chalky, white and pasty material. The culture result was negative for bacteria. In conclusion, it was diagnosed as metastatic calcinosis circumscripta secondary to chronic renal failure. An oral charcoal absorbent and aluminum hydroxide were used to treat this condition. After six weeks treatment, hyperphosphatemia was corrected and metastatic calcinosis circumscriptawas not presented any more.
Key Words: renal failure, metastatic calcinosis circumscripta, oral charcoal absorbent, aluminum hydroxide
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