[Multiple peritrochanteric and pubic calcifications in a young woman on hemodialysis with severe renal osteodystrophy successfully treated with sevelamer+cinacalcet+paracalcitol combination therapy]. / Calcificazioni multiple peritrocanteriche e pubiche in giovane emodializzata con grave osteodistrofia renale risolte dall'associazione sevelamer+cinacalcet+paracalcitolo.
G Ital Nefrol
; 26(3): 372-6, 2009.
Article
em It
| MEDLINE
| ID: mdl-19554535
ABSTRACT
Secondary hyperparathyroidism is a frequent complication of chronic renal failure that can induce severe bone disease and negatively influence the cardiovascular outcome. Therefore, nephrologists should attempt to reach the targets recommended by national and international guidelines using all the available therapeutic strategies. We describe the case of a 37-year-old woman affected by spina bifida and myelomeningocele who had been on hemodialysis since 1993. In July 2006 she developed secondary hyperparathyroidism complicated by peritrochanteric calcifications which did not respond to standard therapy. Because it was impossible to perform a parathyroidectomy, we started medical therapy with a combination of sevelamer hydrochloride, paracalcitol and cinacalcet, which resulted in progressive improvement of laboratory data and osteodystrophy. A diagnosis of mixed secondarytertiary hyperparathyroidism was made, but a progressive increase in iPTH to very high levels suggested a rapid evolution toward a pure tertiary form.
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Base de dados:
MEDLINE
Assunto principal:
Poliaminas
/
Osso Púbico
/
Distúrbio Mineral e Ósseo na Doença Renal Crônica
/
Doenças Ósseas
/
Calcinose
/
Quelantes
/
Ergocalciferóis
/
Diálise Renal
/
Conservadores da Densidade Óssea
/
Fêmur
Idioma:
It
Ano de publicação:
2009
Tipo de documento:
Article