Metastatic Pulmonary Calcification in a Patient with End-Stage Renal Disease and Hyperparathyroidism: A Case Report

一位末期腎病變及副甲狀腺高能症病人併發轉移性肺鈣化—病例報告

羅啟紘(Chi-Hung Lo) ； 吳世偉(Shih-Wei Wu) ； 吳清平(Chin-Pyng Wu) ； 張高耀(Kao-Yao Chang) ； 林任先(Jen-Hsien Lin) ； 馮南雄(Nan-Hsiung Feng)

《胸腔醫學》 27卷5期 (2012/10) Pp. 287-293

https://doi.org/10.29806/TM.201210.0005

摘要

轉移性肺鈣化在尿毒症及鈣離子代謝異常的病患是一個偶發的併發症。胸部X光對於偵測轉移性肺鈣化的並不非常敏感。電腦斷層，尤其是高分辨電腦斷層，以及骨骼掃描對於偵測小量鈣化及轉移性肺鈣化的診斷是較建議的方法，更可以避免開胸切片檢查的必要性。我們報告一個58歲尿毒症病人合併續發性副甲狀腺高能症，經由病史、胸部X光、電腦斷層，以及骨骼掃描等檢查，診斷為轉移性肺鈣化。

關鍵字

轉移性肺鈣化 ； 尿毒症

並列摘要

Metastatic pulmonary calcification (MPC) is an occasionally encountered complication of uremia and a disordered calcium metabolism. Chest radiograph has limited effectiveness in the detection of MPC. Chest computed tomography (CT) scan, particularly high-resolution CT (HRCT), and bone scintigraphy are the preferred methods for detecting small amounts of calcification and diagnosing MPC, obviating the need for open lung biopsy. We report the case of a 58-year-old patient with uremia and secondary hyperparathyroidism who was diagnosed as having metastatic calcification, based on the history, chest x-ray, chest CT, and bone scintigraphy.

並列關鍵字

metastatic pulmonary calcification ； uremia