TREATMENT OF DIALYSIS OSTEOMALACIA WITH DESFERRIOXAMINE

作者: DouglasJ. Brown , KathrynN. Ham , JohnK. Dawborn , JosephM. Xipell

DOI: 10.1016/S0140-6736(82)90544-X

关键词: DialysisUrologyOsteomalaciaOsteoidEffective treatmentBone biopsySurgeryNormal boneMedicine

摘要: Two patients with severe dialysis osteomalacia, whose fractures and deformities had become progressively worse over 3 years, were treated desferrioxamine (DFO). They improved rapidly 6 months able to stop taking analgesics return normal activities. Pre-treatment bone biopsy samples contained extensive osteoid covering trabecular surfaces. Electron microscopy showed morphological abnormalities in the matrix. Treatment brought about a decrease extent depth of osteoid, but matrix remained. Energy-dispersive X-ray microanalysis presence several metals not seen bone. The changes trace after DFO treatment consistent. Atomic absorption analysis no significant change aluminium content treatment. appears be an effective for osteomalacia.

参考文章(8)
I.S. Parkinson, T.G. Feest, D.N.S. Kerr, M.K. Ward, R.W.P. Fawcett, FRACTURING DIALYSIS OSTEODYSTROPHY AND DIALYSIS ENCEPHALOPATHY: An Epidemiological Survey The Lancet. ,vol. 313, pp. 406- 409 ,(1979) , 10.1016/S0140-6736(79)90883-3
J.R Mcdermott, A.I Smith, M.K Ward, I.S Parkinson, D.N.S Kerr, BRAIN-ALUMINIUM CONCENTRATION IN DIALYSIS ENCEPHALOPATHY The Lancet. ,vol. 311, pp. 901- 904 ,(1978) , 10.1016/S0140-6736(78)90681-5
H.M. Leather, I.G. Lewin, E. Calder, J. Braybrooke, R.R. Cox, Effect of Water Deionisers on ‘Fracturing Osteodystrophy’ and Dialysis Encephalopathy in Plymouth Nephron. ,vol. 29, pp. 80- 84 ,(1981) , 10.1159/000182244
Giulia Cournot-Witmer, Johanna Zingraff, Jean Jacques Plachot, Françoise Escaig, Roger Lefèvre, Pierre Boumati, Agnès Bourdeau, Michèle Garabédian, Pierre Galle, Raymond Bourdon, Tilman Drüeke, Sonia Balsan, Aluminum localization in bone from hemodialyzed patients: Relationship to matrix mineralization Kidney International. ,vol. 20, pp. 375- 385 ,(1981) , 10.1038/KI.1981.149
M.K Ward, H.A Ellis, T.G Feest, I.S Parkinson, D.N.S Kerr, J Herrington, G.L Goode, Osteomalacic dialysis osteodystrophy: Evidence for a water-borne aetiological agent, probably aluminium. The Lancet. ,vol. 311, pp. 841- 845 ,(1978) , 10.1016/S0140-6736(78)90191-5
P. Ackrill, A.J. Ralston, J.P. Day, K.C. Hodge, SUCCESSFUL REMOVAL OF ALUMINIUM FROM PATIENT WITH DIALYSIS ENCEPHALOPATHY The Lancet. ,vol. 316, pp. 692- 693 ,(1980) , 10.1016/S0140-6736(80)92728-2
H A Ellis, J H McCarthy, J Herrington, Bone aluminium in haemodialysed patients and in rats injected with aluminium chloride: relationship to impaired bone mineralisation. Journal of Clinical Pathology. ,vol. 32, pp. 832- 844 ,(1979) , 10.1136/JCP.32.8.832
V. Parsons, C. Davies, C. Goode, C. Ogg, J. Siddiqui, Aluminium in Bone from Patients with Renal Failure BMJ. ,vol. 4, pp. 273- 275 ,(1971) , 10.1136/BMJ.4.5782.273