Calcinosis Cutis: A Rare Complication Following Liver Transplantation

皮膚鈣質沉著症：－發生在肝臟移值後的罕見併發症

林文啓(Wen-Chi Lin) ； 林宛融(Wan-Lung Lin) ； 李建儀(Jennifer C. Lee) ； 阮維鑫(Wei-Hsin Juan) ； 郭承統(Tseng-Tong Kuo) ； 洪宏翔(Hong-Shang Hong)

《中華皮膚科醫學雜誌》 24卷2期 (2006/06) Pp. 131-134

https://doi.org/10.29784/DS.200606.0007

摘要

皮膚鈣質沉著症的臨床表現可由無症狀的丘疹到危及生命的瀰漫性皮膚鈣化壞死，我們報告－61歲婦女在肝臟移植手術四天後，於左前臂產生廣泛性的皮膚鈣質沉著症。在術中，病人曾在病灶發生的同一處被給予大量的氯化鈣溶液靜脈注射，但並無明顯輸液外漏的情形，此罕見的併發症可能歸因於局部鈣離子濃度上升及腎功能衰竭，在照護肝臟移植病人時辨別此種皮膚表現有其重要性。

並列摘要

The clinical manifestations of calcinosis cutis vary from asymptomatic cutaneous papules to life- threatening calciphylaxis. We describe a 61-year-old female who was found to have extensive calcinosis cutis on her left forearm 4 days following liver transplantation. Large amount of calcium chloride solution was intravenously infused during the operation at the same site without gross extravasation. This uncommon complication may be attributed to local tissue hypercalcemia and concomitant impairment of renal function. Recognizing this phenomenon is important in managing patients with liver transplantation.

並列關鍵字

Calcinosis cutis ； Liver transplantation ； Calcium chloride solution ； Blood transfusion