目錄/各期文章

內科學誌 -第35卷第1期

病例 
What is behind Calcium Deposition over Gastric Mucosa?  全文閱讀
81~85 
英文 
Gastric mucosal calcinosis、calcinosis cutis、metastatic calcinosis、chronic kidney disease、hyperphosphatemia、hemodialysis 
莊至鈞1 、郭家榮2,3 、吳仁欽3,4 、林蔚然2,3 、邱正堂2,3  
林口長庚紀念醫院 內科部1 、林口長庚紀念醫院 胃腸肝膽科2 、長庚大學醫學院3 、林口長庚紀念醫院解剖病理科4  
       Calcinosis cutis can be categorized into dystrophic, metastatic, idiopathic, and iatrogenic. Dystrophic calcification is the most common subtype and results from local tissue injury. When calcinosis cutis is noted over gastric mucosa, it is called gastric mucosal calcinosis (GMC). GMC has only three subtypes, including dystrophic, metastatic, and idiopathic. Metastatic subtype is the most common one. It is associated with abnormal calcium and phosphate metabolism. The incidence of GMC varies with the population being studied. GMC is usually demonstrated as white flat plaques or nodules by esophagogastroduodenoscopy. Hyperphosphatemia can lead to high mortality and cardiovascular event. Thus, when calcium deposition was found over gastric mucosa, we should look for possible etiologies and check laboratory data including calcium and phosphate.