Calcification of the Aorta and Common Iliac Arteries  

Oleh:

Sudo, Kazumasa ; Harada, Hiroshi

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: The New England Journal of Medicine (keterangan: ada di Proquest) vol. 364 no. 15 (Apr. 2011), page 1449.
Topik: Paresthesia and Weakness; Dialysis Therapy
Fulltext: Aorta and Common Iliac Arteries.jpeg (148.99KB)

Ketersediaan

Perpustakaan FK Nomor Panggil: N08.K.2011.01 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

A 59-year-old man presented with paresthesia and weakness in both legs. Plain radiography of the abdomen showed marked calcification of the wall of the abdominal aorta (Panels A and B, upper arrows) and the common iliac arteries (Panels A and B, lower arrows). These findings were confirmed on computed tomography of the lower abdomen, which showed calcification of the abdominal aorta (Panel C, arrow). The patient's medical history included remote glomerulonephritis of uncertain cause. He had received 6 years of ambulatory peritoneal dialysis and 11 years of hemodialysis. Six months before his current presentation, he had undergone renal transplantation. Patients with a long-standing history of dialysis therapy often have marked arterial calcification, which is thought to occur with increased frequency in patients with diabetes, dyslipidemia, increased pulse pressure, or disordered mineral metabolism, especially older patients. Aside from attention to mineral metabolism and cardiovascular risk factors, the optimal surveillance and management of vascular calcification in this population remains uncertain.

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