Isolated arterial calcifications of the lower extremities: A clue for NT5E mutation

Tjerk de Nijs, Juliette Albuisson, Charlotte W. Ockeloen, Anne Legrand, Xavier Jeunemaitre, Leo J. Schultze Kool, Niels P. Riksen
2016 International Journal of Cardiology  
A forty-two year old man was referred to the Dept. of Vascular Medicine because of severe intermittent claudication of both legs, that started at the age of 27. He never smoked, used alcohol in moderation and didn't use illicit drugs. His medication included acetylsalicylic acid and rosuvastatin. His family history was unremarkable, notably with no atherosclerotic disease and no consanguinity. His medical history revealed pain in several small joints of the hands, knees, and ankles since 1994,
more » ... ankles since 1994, without rheumatological diagnosis. Physical examination showed absent pulsations of the dorsal pedal arteries on both feet. Laboratory examination revealed normal serum concentration of total cholesterol (3.2 mmol/l), creatinine (71 μmol/l), glucose (5.3 mmol/l), calcium (2.41 mmol/l), inorganic phosphate (0.99 mmol/l), parathyroid hormone (4.3 pmol/l), and 25-OH-vitamin D (56 μmol/l). A CT angiography of the thorax and abdomen was performed in 2007 revealing extensive arterial lower limb calcifications starting from the femoral artery (Fig. 1) . Remarkably, the aorta and coronary
doi:10.1016/j.ijcard.2016.03.068 pmid:27045881 fatcat:crth2cmwjvernglunt53hmd4vm