Calcinose cutanée chez un patient en hémodialyse avec maladie de Von Hippel-Lindau (notice n° 2078686)

détails MARC
000 -LEADER
fixed length control field 03320cam a2200361 4500500
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20260405004832.0
041 ## - LANGUAGE CODE
Language code of text/sound track or separate title fre
042 ## - AUTHENTICATION CODE
Authentication code dc
100 10 - MAIN ENTRY--PERSONAL NAME
Personal name Bertrand, Jean
Relator term author
245 00 - TITLE STATEMENT
Title Calcinose cutanée chez un patient en hémodialyse avec maladie de Von Hippel-Lindau
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Date of publication, distribution, etc. 2026.<br/>
500 ## - GENERAL NOTE
General note 8
520 ## - SUMMARY, ETC.
Summary, etc. Nous rapportons le cas d’un homme de 52 ans atteint de la maladie de Von Hippel-Lindau, traité par hémodialyse nocturne à domicile depuis dix mois, après néphrectomie bilatérale pour carcinome rénal à cellules claires multifocal. Il signale l’apparition d’un nodule sous-cutané ferme et indolore de la cuisse droite, avec un cratère central rempli de matériel blanchâtre. La biopsie cutanée a révélé des dépôts calciques dermiques entourés d’une réaction fibreuse et histiocytaire, compatible avec une calcinose cutanée dystrophique. D’autres nodules suspects étaient palpables sur le mollet gauche et le biceps droit. La radiographie des fémurs était normale. L’hyperphosphatémie persistante et un contexte de dialyse insuffisante ont probablement contribué à la survenue de ces calcifications extra-osseuses. L’intensification du traitement chélateur du phosphate et une augmentation de la fréquence des séances d’hémodialyse ont été mises en œuvre. Ce cas illustre l’interaction potentielle entre pathologies tumorales héréditaires et troubles phosphocalciques liés à la dialyse.
520 ## - SUMMARY, ETC.
Summary, etc. We report the case of a 52-year-old man with Von Hippel-Lindau disease who had been receiving nocturnal home hemodialysis for ten months following bilateral nephrectomy for multifocal clear cell renal carcinoma. He presented with a firm, painless subcutaneous nodule on the right anterior thigh, featuring a central crater filled with chalky-white material. Skin biopsy revealed dermal calcium deposits surrounded by a fibrous and histiocytic reaction, consistent with dystrophic calcinosis cutis. Additional nodules were palpable on the left calf and right biceps. Bilateral femur X-rays were normal. Persistent hyperphosphatemia and inadequate dialysis likely contributed to the development of these extraosseous calcifications. Management included intensification of phosphate binder therapy and increased dialysis frequency. This case illustrates the potential interplay between hereditary tumor syndromes and dialysis-related mineral metabolism disorders, highlighting the risk of severe extraosseous calcifications in such patients.
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element calcinose cutanée
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element hémodialyse
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element CKD-MBD
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element hyperphosphatémie
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element maladie de Von Hippel-Lindau
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element CKD-MBD
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element cutaneous calcinosis
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element hemodialysis
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element hyperphosphatemia
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element Von Hippel-Lindau disease
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Verhellen, Catherine
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Beringuier, Maxime
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Bitout, Nesrine
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Dufour, Inès
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Secco, Léo-Paul
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Goffin, Éric
Relator term author
786 0# - DATA SOURCE ENTRY
Note Néphrologie & Thérapeutique | 22. | 1 | 2026-04-03 | p. 67-70 | 1769-7255
856 41 - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="https://stm.cairn.info/revue-nephrologie-et-therapeutique-2026-1-page-67?lang=fr&redirect-ssocas=7080">https://stm.cairn.info/revue-nephrologie-et-therapeutique-2026-1-page-67?lang=fr&redirect-ssocas=7080</a>

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