Presentation
Incidental finding in a patient with advanced diabetes and chronic renal disease.
Patient Data
Age: 40 years
Gender: Female
From the case:
Mönckeberg medial calcific sclerosis
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Circumferential extensive calcification of the arteries of the upper limb.
Case Discussion
The patient was known for a long history of uncontrolled type I diabetes and had recently developed terminal renal failure.
The extensive calcifications shown are highly characteristic of Mönckeberg sclerosis, which represent medial calcification of medium and small muscular arteries associated with diabetes and renal failure.
In contrast to atherosclerotic disease, Mönckeberg sclerosis does not cause luminal obstruction.
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