A CASE OF CHRONIC CONSTRICTIVE PERICARDITIS WITH SECONDARY HYPERPARATHYROIDISM UNDERGOING LONG-TERM HEMODIALYSIS

Abstract

A case of a 31-year-old man who had chronic constrictive pericarditis and underwent long-term hemodialysis for chronic renal failure is reported.
Chest and limb roentgenograms showed severe metastatic calcification in the heart and peripheral arteries, and a high serum PTH level and fibrous osteitis indicated secondary hyperparathyroidism.
Pericardiectomy, removal of calcified epicardium and subsequently total parathyroidectomy were successfully performed. Histologically, all parathyroid glands showed diffuse hyperplasia.
It is considered that the main cause of this case was metastatic calcification involving the pericardium and myocardium associated with secondary hyperparathyroidism.