Christina Waite, MD, CAPT USAF MC; Kurtis R. Kendell, MD; Douglas P. Beall, MD, MAJ USAF MC; Justin Q. Ly, MD, CAPT USAF MC

Disclosures

January 04, 2005

Case Summary

A 71-year-old man with renal failure secondary to autosomal dominant polycystic kidney disease had been on hemodialysis for 22 years. Bilaterial hand pain and swelling prompted radiographic evaluation (Figures 1 and 2).

Magnified views of the (A) right and (B) left hands reveal soft-tissue swelling in both wrists. Erosions in the right scaphoid, capitate, and base of the 5th metacarpal are also evident as well as a nonunited fracture of the mid aspect of the left scaphoid. Prominent vascular calcifications are also present.

Magnified views of the (A) right and (B) left hands reveal soft-tissue swelling in both wrists. Erosions in the right scaphoid, capitate, and base of the 5th metacarpal are also evident as well as a nonunited fracture of the mid aspect of the left scaphoid. Prominent vascular calcifications are also present.

(A and B) CT images through the kidneys show typical changes of polycystic kidney disease and extensive vascular calcifications.

(A and B) CT images through the kidneys show typical changes of polycystic kidney disease and extensive vascular calcifications.

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