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Vol. 41. Issue 10.
Pages 587-589 (October 2005)
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Vol. 41. Issue 10.
Pages 587-589 (October 2005)
Case Report
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Diffuse Pulmonary Calcification in a Patient With Renal Insufficiency
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M.C. Castillo
Corresponding author
ccastillolario@wanadoo.es

Correspondence: Dra. M.C. Castillo. Avda. Cesáreo Alierta, 20, esc. A, 2.° D. 50008 Zaragoza. España
, M.J. Gimeno, B. Carro, J.L. Benito, E. Freile, J.M. Sainz
Servicio de Radiodiagnóstico, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain
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We report the case of a 37-year-old man with chronic renal insufficiency, on hemodialysis, with no respiratory symptoms but whose chest radiograph showed parenchymal consolidation in the middle and upper lung fields. High resolution computed tomography showed a high-attenuating diffuse alveolar pattern that indicated calcium deposits. Bronchoscopy revealed metastatic calcification on the interalveolar septa and bronchiolar and arteriolar.

The present report, based on radiologic and bronchoscopic findings, describes the pathogenesis and anatomical distribution of the patient's diffuse pulmonary calcification.

Key Words:
Renal insufficiency
Pulmonary calcification
Metastatic pulmonary calcification
High resolution computed tomography

Se describe el caso de un varón de 37 años de edad con insuficiencia renal crónica en hemodiálisis y asintomático desde el punto de vista respiratorio, que presentó una radiografía de tórax con consolidaciones parenquimatosas en campos pulmonares medios y superiores. Los hallazgos de la tomografía computarizada de alta resolución mostraron un patrón alveolar difuso de alta atenuación, indicativo de depósito de calcio. La broncoscopia demostró calcificaciones metastásicas en septos alveolares y paredes de bronquiolos y arteriolas.

Este artículo describe la patogenia y distribución anatómica de las calcificaciones pulmonares difusas basándose en los hallazgos radiológicos y broncoscópicos.

Palabras clave:
Insuficiencia renal
Calcinosis pulmonar
Calcificaciones metastásicas pulmonares
Tomografía computarizada de alta resolución
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REFERENCES
[1]
FE Kuhlman, H Ren, GM Hutchins, EK Fishman.
Fulminant pulmonary calcification complicating renal transplantation: CT demonstration.
Radiology, 173 (1989), pp. 459-460
[2]
R Santiago Villalobos, E Rodríguez Becerra, F Borderas Naranjo, J Martín Juan.
Calcificación pulmonar metastásica: una rara causa de enfermedad pulmonar intesticial.
Arch Bronconeumol, 39 (2003), pp. 184-186
[3]
M Murris-Espin, L Lacassagne, A Didier, JJ Voigt, JM Cisterne, J Giron, et al.
Metastatic pulmonary calcification after renal transplantation.
Eur Respir J, 10 (1997), pp. 1925-1927
[4]
E Ulmer, H Borre, P Sandoz, M Mayr, P Dalquen, M Solèr.
Diffuse pulmonary nodular infiltrates in a renal transplant recipient.
Chest, 20 (2001), pp. 1394-1398
[5]
SK Morkos.
Regarding metastatic pulmonary calcification in renal failure.
Br J Radiol, 75 (2002), pp. 711-712
[6]
I Miyoshi, T Saito, M Kobayashi, H Taguchi.
Pulmonary calcinosis in adult T-cell leukaemia.
Br J Haematol, 126 (2004), pp. 164
[7]
RK Lingam, J Teh, A Sharma, E Friedman.
Metastatic pulmonary calcification in renal failure: a new HRCT pattern.
Br J Radiol, 75 (2002), pp. 74-77
[8]
M Romagnoli, G Mourad, I Serre, JP Senad, L Paradis, P Godard, et al.
Diffuse pulmonary calcinosis without calcium metabolism abnormalities in a renal transplant recipient.
Eur Respir J, 10 (1997), pp. 958-960
[9]
V Poletti, U Costabel, GL Casoni, C Bigliazzi, M Drent, D Olivieri.
Rare infiltrative lung diseases: a challenge for clinicians.
Respiration, 71 (2004), pp. 431-443
[10]
YJ Jeong, KS Lee, MP Chung, J Han, MJ Chung, KI Kim, et al.
Amyloidosis and lymphoproliferative disease in Sjögren syndrome: thin-section computed tomography findings and histopathologic comparisons.
J Comput Assist Tomogr, 28 (2004), pp. 776-781
[11]
G Castellana, V Lamorgese.
Pulmonary alveolar microlithiasis. World cases and review of the literature.
Respiration, 70 (2003), pp. 549-555
[12]
HE Támez Pérez, G Forsbach Sánchez, F Colunga González, FC García.
Diffuse pulmonary calcinosis in a case of primary hyperparathyroidism.
Rev Invest Clin, 52 (2000), pp. 98-100
[13]
CK Weber, JM Friedrich, E Merkle, O Prummer, A Hoffmeister, T Mattfeldt, et al.
Reversible metastatic pulmonary calcification in a patient with multiple myeloma.
Ann Hematol, 72 (1996), pp. 329-332
[14]
M Zompatori, MR Rimondi, F Fantone, N Monetti, R Franchi, R Canini.
The high-resolution computed tomographic study of metastatic pulmonary calcifications. A case report.
Radio Med (Turino), 87 (1994), pp. 515-518
[15]
TE Hartman, N Muller, SL Primack, T Johkoh, N Takeuchi, N Ikezoe, et al.
Metastatic pulmonary calcification in patients with hypercalcemia: findings on chest radiographs and TC scans.
AJR Am J Roentgenol, 162 (1994), pp. 799-802
Copyright © 2005. Sociedad Española de Neumología y Cirugía Torácica (SEPAR)
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