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Man of stone
  1. Tahira Scott1,
  2. Nicholas Gray2
  1. 1Sunshine Coast Hospital and Health Service, Nambour General Hospital, Nambour, Queensland, Australia
  2. 2Sunshine Coast Hospital and Health Service, Sunshine Coast Clinical School, The University of Queensland, Nambour General Hospital, Nambour, Queensland, Australia
  1. Correspondence to Dr Tahira Scott, Sunshine Coast Hospital and Health Service, Nambour General Hospital, Hospital Road, Nambour, QLD 4560, Australia; tahirascott{at}gmail.com

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A 53-year-old obese man developed abdominal pain after recently commencing haemodialysis. He had undergone a pre-emptive renal transplant 34 years prior for end-stage kidney disease due to renal hypoplasia. Examination found a hard and tender abdominal apron. Biochemistry showed a corrected calcium of 2.83 mmol/L (2.15–2.60), phosphate of 1.56 mmol/L (0.81–1.45) and parathyroid hormone of 29.5 pmol/L (1–7). His calcium and phosphate had been within the normal reference range until commencing haemodialysis.

CT (figure 1) revealed extensive dystrophic subcutaneous calcification, …

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