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Figure 1. A 46-year-old man with end-stage renal disease due to diabetic nephropathy had been undergoing hemodialysis for almost two years. Fourteen months after beginning dialysis, he reported pain below the right antecubital fossa, the site of an arteriovenous graft. A plain radiograph showed a nonpalpable calcification measuring 2 cm by 3 cm in the soft tissue. The patient had not been compliant in taking aluminum-containing phosphate binders and had been treated intermittently with intravenous calcitriol. His calcium–phosphate product (with both substances measured in milligrams per deciliter) ranged from 74 to 116 in the ensuing nine months (mean, 93). At the end . . . [Full Text of this Article] |
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