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CT Evaluation of Multisystem Involvement by Oxalosis

Lyn W. Kuo1, Karen Horton and Elliot K. Fishman

1 All authors: Department of Radiology, Johns Hopkins Hospital, 601 N. Caroline St., Rm. 3254, Baltimore, MD 21287.



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Fig. 1A. 40-year-old woman with primary hyperoxaluria and oxalosis. Unenhanced radiograph of upper abdomen shows markedly increased density of both kidneys, compatible with nephrocalcinosis.

 


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Fig. 1B. 40-year-old woman with primary hyperoxaluria and oxalosis. Unenhanced CT scan obtained on August 23, 1999, shows markedly increased attenuation of renal cortex.

 


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Fig. 1C. 40-year-old woman with primary hyperoxaluria and oxalosis. Unenhanced chest CT scan shows increased attenuation of myocardium (arrows), compatible with oxalate deposition. Note small pleural effusion.

 


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Fig. 1D. 40-year-old woman with primary hyperoxaluria and oxalosis. Microphotograph of biopsy specimen taken from third portion of duodenum at endoscopy shows two polarizable calcium oxalate crystals (arrow) with prismatic appearance along brush border in otherwise healthy small bowel. (H and E, x200)

 

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