Secondary Tumoral Calcinosis of the Hands Presenting in a Hemodialysis Patient: A Rare Case Report and Literature Review

Introduction Tumoral Calcinosis (TC) is a rare and severe complication of hemodialysis characterized by calcium salt deposits in periarticular soft tissue, often involving the hips, elbows, shoulders, and scapulae. Finger involvement, especially isolated, is exceedingly rare. Case Report We report a case of Secondary Tumoral Calcinosis in a 54-year-old male with chronic kidney disease on hemodialysis involving multiple areas of the hands, including the right dorsal ring finger, left volar middle finger, and left volar ring finger. We collected a thorough medical history, including laboratory values, x-ray imaging, and pathologic examination to determine this precise diagnosis. Given the sequelae of this disease experienced by this patient, we performed surgical excision of the largest calcification for symptomatic treatment. Conclusions TC may be rare but can affect end stage renal disease patients on hemodialysis and should be suspected even when presenting in uncommon locations. Physical exam and imaging are imperative in diagnosis, and surgical excision remains the mainstay treatment for symptomatic patients.