Osteomalacia and Insufficiency Fracture in a Hemodialysis Patient with Autosomal Dominant Polycystic Kidney Disease
スポンサーリンク
概要
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A 61-year-old Japanese woman on hemodialysis with autosomal dominant polycystic kidney disease (ADPKD) was admitted to the hospital with gluteal pain. Radiographs demonstrated a fracture of the left pubis. The serum 1,25(OH)2-vitamin D and 25(OH)-vitamin D levels were low. A biopsy of the right iliac crest disclosed osteomalacia. Active vitamin D sterol was administered in conjunction with dietary modification. Her gluteal pain was resolved three years later, and healing of the fracture was confirmed by radiology. This case emphasizes that vitamin D deficiency and malnutrition can cause osteomalacia in dialysis patients, even if calcium (Ca) and phosphate (P) levels are controlled by calcium carbonate.
著者
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Sawa Naoki
Nephrology Center Toranomon Hospital
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Suwabe Tatsuya
Nephrology Center Toranomon Hospital
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Ubara Yoshifumi
Nephrology Center Toranomon Hospital
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Takaichi Kenmei
Nephrology Center Toranomon Hospital
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Hasegawa Eiko
Nephrology Center Toranomon Hospital
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YAMANOUCHI Masayuki
Nephrology Center, Toranomon Hospital
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Hayami Noriko
Nephrology Center Toranomon Hospital Kajigaya
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Hoshino Junichi
Nephrology Center Toranomon Hospital
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Hiramatsu Rikako
Nephrology Center Toranomon Hospital Kajigaya
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Sumida Keiichi
Nephrology Center, Toranomon Hospital, Japan
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Sumida Keiichi
Nephrology Center and Okinaka Memorial Institute for Medical Research, Toranomon Hospital, Japan
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Mise Koki
Nephrology Center, Toranomon Hospital, Japan
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Hasegawa Eiko
Nephrology Center, Toranomon Hospital, Japan
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Hasegawa Eiko
Nephrology Center and Okinaka Memorial Institute for Medical Research, Toranomon Hospital, Japan
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Yamanouchi Masayuki
Nephrology Center, Toranomon Hospital, Japan
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Yamanouchi Masayuki
Nephrology Center and Okinaka Memorial Institute for Medical Research, Toranomon Hospital, Japan
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Sawa Naoki
Nephrology Center, Toranomon Hospital, Japan
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Sawa Naoki
Nephrology Center and Okinaka Memorial Institute for Medical Research, Toranomon Hospital, Japan
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Takaichi Kenmei
Nephrology Center, Toranomon Hospital, Japan
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Ubara Yoshifumi
Nephrology Center and Okinaka Memorial Institute for Medical Research, Toranomon Hospital, Japan
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Hayami Noriko
Nephrology Center and Okinaka Memorial Institute for Medical Research, Toranomon Hospital, Japan
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Suwabe Tatsuya
Nephrology Center and Okinaka Memorial Institute for Medical Research, Toranomon Hospital, Japan
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