Nephrocalcinosis

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Nephrocalcinosis
Medullary nephrocalcinosis.
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1], Associate Editor(s)-in-Chief: Cafer Zorkun, M.D., PhD.

Synonyms and keywords: Albright's calcinosis

Overview

Nephrocalcinosis is a term originally used to describe deposition of calcium salts in the renal parenchyma due to hyperparathyroidism. It is now more commonly used to describe diffuse, fine, renal parenchymal calcification on radiology.[1] During its early stages, nephrocalcinosis is visible on x-ray, and appears as a fine granular mottling over the renal outlines. These outlines eventually come together to form a dense mass.[2]

It is most commonly seen as an incidental finding with medullary sponge kidney on an abdominal x-ray. However, it may be severe enough to cause (as well as be caused by) renal tubular acidosis or even end stage renal failure, due to disruption of the renal tissue by the deposited calcium.

Histological Perspective

It was once known as Albright's calcinosis after Fuller Albright.

Pathophysiology

Stages of nephrocalcinosis

  • Chemical nephrocalcinosis
  • Microscopic nephrocalcinosis
  • Macroscopic nephrocalcinosis

Causes

Causes of cortical nephrocalcinosis

Causes of medullary nephrocalcinosis

Other causes of hypercalcemia (and thus hypercalciuria)

Differential Diagnosis



Diagnostic Findings

Patient #1

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Patient #2

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References

  1. "Nephrocalcinosis". eMedicine. 2003-09-09. Retrieved 2007-03-10.
  2. "Albright's Nephrocalcinosis". e-radiology. Retrieved 2007-03-10.

External Links

Additional Resources

  • Genitourinary Imaging: Case Review Series - ISBN 0323037143

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