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Calcinosis cutis in a renal transplant patient
  1. Nguyen T Nguyen1,
  2. Mohamed K M Shakir1,2 and
  3. Thanh Duc Hoang1,2
  1. 1Endocrinology, Walter Reed National Military Medical Center, Bethesda, Maryland, USA
  2. 2Endocrinology, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA
  1. Correspondence to Dr Thanh Duc Hoang; tdhdthanh{at}


Calcinosis cutis is an unusual disorder characterised by calcium–phosphate deposition into cutaneous and subcutaneous tissues. There are five subtypes: dystrophic, metastatic, idiopathic, iatrogenic and calciphylaxis. Our objective was to report a patient with a history of haemodialysis-dependent end-stage renal disease (ESRD) who developed metastatic calcinosis cutis, which is usually associated with abnormalities of calcium–phosphate metabolism in renal failure. In our patient, the serum calcium and phosphate levels were normal. Additionally, we describe the diagnostic approach and the difficulties involved in the management of calcinosis cutis in patients with haemodialysis-dependent ESRD.

  • endocrine system
  • renal system
  • skin
  • calcium and bone
  • healthcare improvement and patient safety

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  • Contributors NTN drafted the manuscript; TDH initiated, critically reviewed and edited the manuscript; MKMS critically reviewed and edited the 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.

  • Disclaimer Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

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

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