Tumoral calcinosis after an injection of recombinant human erythropoietin in a dialysis patient

Am J Kidney Dis. 2002 Aug;40(2):E5. doi: 10.1053/ajkd.2002.34549.

Abstract

Tumoral calcinosis is a rare form of soft tissue calcifications, initially described as an idiopathic condition, which could occur in uremic patients. Despite its distinct clinical and morphologic presentations, the underlying pathogenesis is unknown. We present a dialysis patient who developed tumoral calcinosis over the right shoulder after receiving a misplaced injection of human recombinant erythropoietin probably into the periarticular tissue. This case serves as an example highlighting the importance of periarticular inflammatory reaction in precipitating the development of the lesion in predisposed patients.

Publication types

  • Case Reports

MeSH terms

  • Administration, Oral
  • Adult
  • Bursa, Synovial / diagnostic imaging
  • Bursa, Synovial / pathology
  • Bursa, Synovial / surgery
  • Calcinosis / blood
  • Calcinosis / diagnostic imaging
  • Calcinosis / etiology*
  • Calcinosis / surgery
  • Calcium / blood
  • Calcium / metabolism
  • Calcium Carbonate / administration & dosage
  • Calcium Carbonate / adverse effects
  • Calcium Carbonate / therapeutic use
  • Dialysis Solutions / chemistry
  • Erythropoietin / administration & dosage*
  • Erythropoietin / adverse effects*
  • Female
  • Glomerulonephritis, IGA / blood
  • Glomerulonephritis, IGA / complications
  • Glomerulonephritis, IGA / diet therapy
  • Glomerulonephritis, IGA / therapy
  • Humans
  • Hypercalcemia / chemically induced
  • Hyperplasia
  • Injections, Intramuscular / adverse effects
  • Kidney Failure, Chronic / blood
  • Kidney Failure, Chronic / diet therapy
  • Kidney Failure, Chronic / etiology
  • Kidney Failure, Chronic / therapy
  • Leukocytosis / diagnostic imaging
  • Leukocytosis / etiology
  • Leukocytosis / surgery
  • Parathyroid Hormone / blood
  • Patient Compliance
  • Peritoneal Dialysis, Continuous Ambulatory* / adverse effects
  • Peritoneal Dialysis, Continuous Ambulatory* / methods
  • Radiography
  • Recombinant Proteins
  • Shoulder Joint / diagnostic imaging
  • Shoulder Joint / pathology
  • Shoulder Joint / surgery

Substances

  • Dialysis Solutions
  • Parathyroid Hormone
  • Recombinant Proteins
  • Erythropoietin
  • Calcium Carbonate
  • Calcium