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KMID : 1103720130680060473
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Journal of the Korean Society of Radiology
2013 Volume.68 No. 6 p.473 ~ p.477
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Rapid Progression of Metastatic Pulmonary Calcification and Alveolar Hemorrhage in a Patient with Chronic Renal Failure and Primary Hyperparathyroidism
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Yoon Eun-Joo
Kim Dong-Hun
Yoon Seong-Ho
Suk Eun-Ha
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Abstract
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Metastatic pulmonary calcification (MPC) is common in patients with chronic renal failure. The authors experienced a patient with chronic renal failure and primary hy- perparathyroidism by parathyroid adenoma accompanied with rapid progressions of MPC and alveolar hemorrhage. Recent chest radiographs, compared with previ- ous chest radiographs, showed rapid accumulation of calcification in both upper lungs. Following up on the high-resolution CT scan after five years demonstrates more increased nodules in size and ground glass opacity. The patient was diagnosed with MPC and alveolar hemorrhage by transbronchial lung biopsy. We assumed rapid progression of MPC and alveolar hemorrhage in underlying chronic renal fail- ures could be a primary hyperparathyroidism which may be caused by parathyroid adenoma detected incidentally. Therefore parathyroid adenoma was treated with ethanol injections. Herein, we have reported on CT findings of MPC with alveolar hemorrhage and reviewed our case along with other articles.
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KEYWORD
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Computed Tomography, High-Resolution, Lung, Calcification, Lung, Hemorrhage, Parathyroid, Hyperparathyroidism
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