• BMJ case reports · Dec 2012

    Case Reports

    Incidentally detected Monckeberg's sclerosis in a diabetic with coronary artery disease.

    • Kushal Naha, Ranjan K Shetty, G Vivek, and Shyny Reddy.
    • Department of Medicine, Kasturba Medical College, Manipal, Karnataka, India.
    • BMJ Case Rep. 2012 Dec 4; 2012.

    AbstractWe report the case of a 62-year-old diabetic man, who was incidentally detected to have extensive calcification in his upper limb arteries, consistent with Monckeberg's sclerosis. The condition was identified when routine radial puncture attempted in the course of coronary angiography was repeatedly unsuccessful. Coronary angiography and angioplasty was subsequently performed through the femoral route. Monckeberg's sclerosis is a poorly understood condition associated with generalised atherosclerosis and chronic kidney disease. The pathogenesis and natural history of Monckeberg's sclerosis are briefly discussed.

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