Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
  Home Print this page Email this page Small font sizeDefault font sizeIncrease font size Users Online: 792  
CASE REPORT
Year : 2016  |  Volume : 15  |  Issue : 3  |  Page : 200-202

Laxative related primary hyperphosphatemic tumoral calcinosis identified by bone scintigraphy


1 Department of General Medicine, Fremantle Hospital, WA 6160, Australia
2 Department of Nuclear Medicine, Fremantle Hospital, WA 6160, Australia

Correspondence Address:
Marcus Asokendaran
Department of General Medicine, Fremantle Hospital, WA 6160
Australia
Login to access the Email id


DOI: 10.4103/1450-1147.174709

PMID: 27651742

Rights and Permissions

We describe a case of a 40-year-old female patient presenting with tumor calcinosis where hypertrophic pulmonary osteoarthropathy (HPOA) was suspected given her extensive history of malignancy. Plain X-rays did not show reveal the typical periarticular calcification but did show appearances consistent with HPOA. Bone scintigraphy with 99m Tc-methylene diphosphonate (MDP) is a sensitive investigation in the detection of hypertrophic osteoarthopathy but did not show findings characteristics of HPOA like bilateral symmetrical increased uptake of the radiopharmaceutical along the cortical margins of the long bones. The final diagnosis of tumor calcinosis was only made after low dose computerized tomography chest showed a moderated sized amorphous calcified cluster in the apical segment of the right upper lobe consistent. In conclusion, bone scintigraphy continues to be a useful investigation for both common and rare conditions like tumor calcinosis. The unusual three phase bone scan finding of diffuse activity throughout both lung fields, which turned to out to be tumoral calcinosis is highlighted in this case.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed2231    
    Printed49    
    Emailed0    
    PDF Downloaded155    
    Comments [Add]    

Recommend this journal