A Case Report of Primary Oxalosis with Pathological Fracture.
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We report a case of primary oxalosis with pathological fracure of the femoral neck, in which the diagnosis was made after 7 years of hemodialysis.The patient was a 40-year-old man who developed renal stones at the age of 22. Hemodialysis was initiated because of chronic renal failure when he was 33. He reported pain of his left hip joint from May 1994, which increased and became unbearable.On admission, radiographic findings revealed extensive nephrocalcinosis, marked bone sclerotic change and fracture of the femoral neck.We performed universal femoral neck replacement with bone cement.At bone marrow biopsy, the most striking finding was proven calcium oxalate crystals.The pathological diagnosis was primary oxalosis.Bone marrow biopsy is mandatory if we encounter a case showing nephrocalcinosis and radiographic findings mimicking hyperparathyroidism.
- 西日本整形・災害外科学会の論文
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