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Unusual presentation of more common disease/injury
CASE REPORT
An unusual cause of pulmonary calcification
  1. Nandhini Lakshmana Perumal,
  2. Jayakumar Selvi,
  3. Jaya Prakash Sahoo and
  4. Sadishkumar Kamalanathan
  1. Endocrinology, Jawaharlal Institute of Post Graduate Medical Education and Research, Pondicherry, India
  1. Correspondence to Dr Sadishkumar Kamalanathan, sadishkk{at}gmail.com

Abstract

Metastatic pulmonary calcification (MPC) is an uncommon entity resulting from abnormalities in calcium-phosphorus homoeostasis. Most cases reported in the literature are among patients with chronic kidney disease receiving haemodialysis. Primary hyperparathyroidism is a relatively common condition affecting calcium homoeostasis, in which MPC can rarely occur. We report the case of one such patient who presented with severe hypercalcaemia and features of interstitial lung disease. Radiographic imaging was normal and the diagnosis was clinched by diffuse pulmonary uptake in 99mTechnetium-methylene diphosphate scan.

  • calcium and bone
  • lung function

https://doi.org/10.1136/bcr-2019-229725

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    Footnotes

    • Contributors NLP and JS managed the patient, prepared and edited the manuscript. JPS and SK managed the patient and overlooked the preparation of manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Patient consent for publication Obtained.