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A 36-year-old woman presented with painless, subcutaneous nodules that had developed during the previous 5 months on her buttocks, shoulders, and left wrist (Panel A). Her medical history was notable for glomerulonephritis leading to dialysis at 14 years of age. She later underwent transplantation of a kidney from a deceased donor; the transplant failed, and for the 3 years since, the patient has been undergoing peritoneal dialysis. A plain film of her left wrist showed numerous lobulated, septated calcific masses (Panel B). Laboratory tests revealed severe secondary hyperparathyroidism, with a calcium level of 10.5 mg per deciliter (2.6 mmol per . . . [Full Text of this Article] |
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