A Case of Renal Osteodystrophy with Severe Bone Deformity.
- Author:
Hyun Ah SUH
1
;
Joo Hoon LEE
;
Hyewon HAHN
;
Young Seo PARK
Author Information
1. Department of Pediatrics, University of Ulsan College of Medicine, Asan Medical Center, Korea. yspark@amc.seoul.kr
- Publication Type:Case Report
- Keywords:
Chronic renal failure;
Renal osteodystrophy;
Osteotomy
- MeSH:
Child;
Congenital Abnormalities*;
Humans;
Hyperparathyroidism;
Hypocalcemia;
Kidney Failure, Chronic;
Male;
Osteotomy;
Peritoneal Dialysis, Continuous Ambulatory;
Phosphorus;
Renal Dialysis;
Renal Insufficiency;
Renal Osteodystrophy*;
Vitamin D
- From:Journal of the Korean Society of Pediatric Nephrology
2005;9(1):102-107
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
With the advent of hemodialysis, the success of renal transplants in the 1960s and the wide use of continuous ambulatory peritoneal dialysis at the end of the 1970s, children with renal failure now enjoy an extended life span. As a result, several children experience renal osteodystrophy and growth retardation. Renal osteodystrophy is induced by phosphorus retention, hypocalcemia, low vitamin D levels and hyperparathyroidism. The pharmacologic interventions are used to prevent bone deformities and to normalize growth velocity. But surgical intervention is required sometimes when osteodystrophy is severe and poorly controlled. We report an eight-year-old boy with chronic renal failure who developed severe bone deformities and needed osteotomy.
