PROF MAHESHKUMAR’S UNIT DR R VIJAYANAND
55 years old gentleman from Rajasthan comes with h/o recurrent respiratory infections <ul><li>No h/o prior antituberculous...
 
 
Chest xray PA View showing <ul><li>Multiple soft tissue calcification </li></ul><ul><li>Multiple healed parenchymal lesion...
Causes for  soft tissue calcification DYSTROPHIC Diseased  tissue Normal  serum CALCIUM Damaged heart valves TB LYMPH NODE...
Soft tissue calcification  <ul><li>Arterial calcification-aging,primary or secondary hyperparathyroidism,werner’s syndrome...
<ul><li>Metabolic - hyperparathyroidism,  vit-D overdose, chronic renal failure </li></ul><ul><li>Soft tissue necrosis fol...
<ul><li>Tendon – supraspinatus tendon </li></ul><ul><li>Diffuse systemic sclerosis </li></ul><ul><li>Calcification of tumo...
Guinea worm  [Dracunculensis medinensis] <ul><li>Vector borne nematode infestation of soft tissue </li></ul><ul><li>Common...
LIFE CYCLE <ul><li>drinking water infected </li></ul><ul><li>With  cyclops </li></ul><ul><li>Man acquires infection  </li>...
<ul><li>Where  stepwells  are the source of water supply </li></ul><ul><li>Transmission occurs </li></ul><ul><li>Eradicati...
References  <ul><li>Sutton textbook of radiology </li></ul><ul><li>Park textbook of social&preventive medicine </li></ul><...
 
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CXR: Multiple calcifications

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CXR: Multiple calcifications

  1. 1. PROF MAHESHKUMAR’S UNIT DR R VIJAYANAND
  2. 2. 55 years old gentleman from Rajasthan comes with h/o recurrent respiratory infections <ul><li>No h/o prior antituberculous therapy </li></ul><ul><li>Non smoker </li></ul>
  3. 5. Chest xray PA View showing <ul><li>Multiple soft tissue calcification </li></ul><ul><li>Multiple healed parenchymal lesions </li></ul><ul><li>Calcified worm </li></ul><ul><li>bronchiectasis </li></ul>
  4. 6. Causes for soft tissue calcification DYSTROPHIC Diseased tissue Normal serum CALCIUM Damaged heart valves TB LYMPH NODES Atherosclerosis Stroma of some tumours < psammoma bodies > <ul><li>METASTATIC </li></ul><ul><li>Normal tissues </li></ul><ul><li>Disorder of calcium metabolism </li></ul><ul><li>CKD </li></ul><ul><li>Hyperparathyroidism </li></ul><ul><li>Sarcoidosis </li></ul><ul><li>Milk alkali syndrome </li></ul><ul><li>HyperVitaminosis D </li></ul><ul><li>Commonly seen in kidneys<basement membranes> </li></ul><ul><li>Lungs<alveolar walls </li></ul><ul><li>Stomach-fundal glands </li></ul><ul><li>cornea </li></ul>
  5. 7. Soft tissue calcification <ul><li>Arterial calcification-aging,primary or secondary hyperparathyroidism,werner’s syndrome. </li></ul><ul><li>Venous calcification-thrombosed veins, varicose veins </li></ul><ul><li>Nerves- leprosy,neurofibromatosis </li></ul><ul><li>Haematomas- cephal haematomas </li></ul>
  6. 8. <ul><li>Metabolic - hyperparathyroidism, vit-D overdose, chronic renal failure </li></ul><ul><li>Soft tissue necrosis followed by calcification </li></ul><ul><li>Subcutaneous fat necrosis & calcification – ehlers danlos syndrome , christian weber syn </li></ul><ul><li>Extensive soft tissue calcification in dermatomyositis – ‘calcinosis universalis’ </li></ul><ul><li>-TB lymph node,Im injections, snakebites,frost bite, </li></ul>
  7. 9. <ul><li>Tendon – supraspinatus tendon </li></ul><ul><li>Diffuse systemic sclerosis </li></ul><ul><li>Calcification of tumours- haemangiopericytoma, medullary carcinoma of thyroid, thyroid adenoma </li></ul><ul><li>Parasitic calcification-guinea worm, loa loa, cysticercus cellulosae, trichinella spiralis </li></ul>
  8. 10. Guinea worm [Dracunculensis medinensis] <ul><li>Vector borne nematode infestation of soft tissue </li></ul><ul><li>Common in gujarat, rajasthan </li></ul><ul><li>Last case in india july - 1996 </li></ul><ul><li>India declared free of guinea worm - 2000 </li></ul>
  9. 11. LIFE CYCLE <ul><li>drinking water infected </li></ul><ul><li>With cyclops </li></ul><ul><li>Man acquires infection </li></ul><ul><li>Larvae released & penetrate the duodenal wall </li></ul><ul><li>Larvae Mature&reproduce </li></ul><ul><li>Migrates through viscera to subcutaneous tissues </li></ul><ul><li>Fertilzed female worm migrates to skin surface </li></ul><ul><li>Causes blister ruptures releases larvae </li></ul>
  10. 12. <ul><li>Where stepwells are the source of water supply </li></ul><ul><li>Transmission occurs </li></ul><ul><li>Eradication is possible by provision of safe drinking water, control of cyclops,health education </li></ul><ul><li>Treatment – Niridazole,Mebendazole,Metronidazole </li></ul>SOFT TISSUE SWELLINGS WORM FROM BLISTER
  11. 13. References <ul><li>Sutton textbook of radiology </li></ul><ul><li>Park textbook of social&preventive medicine </li></ul><ul><li>Fishman textbook of respiratory diseases </li></ul><ul><li>Internet </li></ul><ul><li>Robbins textbook of pathology </li></ul>

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