http://jama.jamanetwork.com/ en-us Wed, 09 Jan 2013 00:00:00 GMT Wed, 09 Jan 2013 22:44:10 GMT Silverchair editor@jama.jamanetwork.com webmaster@jama.jamanetwork.com http://jama.jamanetwork.com/article.aspx?articleID=1556128 Wed, 09 Jan 2013 00:00:00 GMT Patel SM, Miller TD. <span class="paragraphSection">A 46-year-old man receiving chronic hemodialysis for polycystic kidney disease is admitted to the hospital with new-onset dyspnea and altered sensorium. He is noted to have “milky” secretions draining from a spontaneous eruption on his left thigh (Figure 1A). His thigh is swollen; radiographs show bulky, extra-articular calcifications (Figure 1B). A 3.4 × 2.3-cm mass involving the posterior mitral leaflet associated with moderate regurgitation is found with transesophageal echocardiography.</span> 309 2 181 182 10.1001/jama.2012.91090 http://jama.jamanetwork.com/article.aspx?articleID=1556128