| Medial arterial calcification mimicking temporal arteritis. | |
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MedLine Citation:
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PMID: 15384038 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Medial arterial calcification, which has been increasingly recognized in end-stage renal disease (ESRD) patients, has been associated with acutely symptomatic vascular complications including calcific uremic arteriolopathy (calciphylaxis) and ischemic changes in the extremities. This report describes a 50-year-old ESRD patient on maintenance hemodialysis in whom medial arterial calcification developed with features mimicking the findings of temporal arteritis. He complained of persistent bilateral temporal area headaches with associated symptoms of blurred vision; pain in his shoulders, hips, and knees; and intermittent symptoms consistent with jaw claudication. He was not receiving calcium or vitamin D supplements. Superficial temporal arteries were dilated, tortuous, nodular, and tender to palpation. Ophthalmologic examination was unremarkable, except for the presence of peripapillary atrophy. Temporal artery biopsy results showed medial arterial calcification with mild inflammatory changes. No giant cells were identified. Additional long-term complications of medial arterial calcification have included the development of painful ischemic ulceration of the glans penis and extensive mitral annulus calcification detected by echocardiography. The findings in this patient show that clinical manifestations of medial artery calcification associated with ESRD can mimic those seen with other vascular diseases. |
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Authors:
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Ahmed I Al-Absi; Barry M Wall; C Robert Cooke |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: American journal of kidney diseases : the official journal of the National Kidney Foundation Volume: 44 ISSN: 1523-6838 ISO Abbreviation: Am. J. Kidney Dis. Publication Date: 2004 Oct |
Date Detail:
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Created Date: 2004-09-22 Completed Date: 2005-03-01 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8110075 Medline TA: Am J Kidney Dis Country: United States |
Other Details:
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Languages: eng Pagination: e73-8 Citation Subset: IM |
Affiliation:
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Department of Nephrology, University of Tennessee Health Science Center, Veterans Affairs Medical Center, Memphis, TN 38104, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Arteriosclerosis
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complications*,
diagnosis*,
pathology Diagnosis, Differential Giant Cell Arteritis / diagnosis* Humans Kidney Failure, Chronic / complications*, therapy Male Middle Aged Renal Dialysis |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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