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Hans-Peter Tony
Hans-Peter Tony
Germany
Publications
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Case Report
Soft Tissue Calcifications Under Bisphosphonates-A Causal Relationship?
Author(s): Marc Schmalzing and Hans-Peter TonyMarc Schmalzing and Hans-Peter Tony
The patient, a 75-year-old woman with rheumatoid arthritis presented with a 3-months history of severe pain of both upper arms which could be triggered by pressure. On physical examination palpation of her dorsal upper arms revealed multiple hard mobile subcutaneous nodules with marked tenderness. These could be confirmed on X-ray of her right upper arm in two plains, where multiple calcified subcutaneous nodules could be documented. At first a rare side effect of zoledronic acid which the patient received for osteoporosis was suspected. After thorough questioning the patient remembered, that she had received a 24-hour monitoring of her blood pressure shortly before the onset of her chief complaint, during which the blood pressure cuff had caused her severe pain. Based on the morphology of the calcifications and the patient’s history the diagnosis of dystrophic .. View More»
DOI: 10.4172/2329-6887.1000142