The Prevalence of Skeletal Surveys of Patients on Maintenance Hemodialysis
Authors: MURALI SUNDARAM
Journal: Annals of Internal Medicine (1982)

Editorials1 November 1982The Prevalence of Skeletal Surveys of Patients on Maintenance HemodialysisMURALI SUNDARAM, M.B., B.S., MICHAEL K. WOLVERSON, M.B., B.S.MURALI SUNDARAM, M.B., B.S.Search for more papers by this author, MICHAEL K. WOLVERSON, M.B., B.S.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-97-5-780 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptRenal osteodystrophy encompasses hyperparathyroidism, osteomalacia, osteoporosis, osteosclerosis, and soft tissue calcification. The radiographic signs of renal osteodystrophy are detectable in the hands, lateral ends of the clavicles, ribs, vertebrae, pelvis, long bones, and skull. Before dialysis and renal transplantation were introduced, bone disease with or without symptoms developed in patients who had irreversible renal glomerular failure in two main settings: adults with chronic uremia and bone disease and those patients whose lives were prolonged by skilled, conservative treatment, many of whom showed florid hyperparathyroidism. Many of the radiographic signs of azotemic osteodystrophy were described in this latter group of patients...References1. PARFITT A. Clinical and radiographic manifestations of renal osteodystrophy. In: DAVID DS, ed. Calcium Metabolism in Renal Failure and Nephrolithiasis. New York: John Wiley & Sons; 1977: 145-90. Google Scholar2. MALLUCHERITZKUTSCHER HEA. Calcium metabolism and impaired mineralization in various stages of renal insufficiency. In: NORMAN AW, SCHAEFER K, GRIGOLEIT HG, HERRATH DV, RITZ E, eds. Vitamin D and Problems Related to Uremic Bone Disease. Berlin: Walter De Gruyter, Inc.; 1975: 513-22. Google Scholar3. BORDIERMARIEARNAUD PPC. Evolution of renal osteodystrophy: correlation of bone histomorphometry and serum mineral immunoreactive parathyroid hormone values before and after treatment with calcium carbonate or 25-hydroxycholecalciferol. Kidney Int. 1975;7(Suppl 2):S102-S112. Google Scholar4. STANBURY S. Azotaemic renal osteodystrophy. Clin Endocrinol Metabol. 1972:1:267-304. CrossrefGoogle Scholar5. JOHNSONGOLDSMITHBEABOUTJOWSEYKELLEYARNAUD WRJJPC. Prevention and reversal of progressive secondary hyperparathyroidism in patients maintained by hemodialysis. Am J Med. 1974;56:827-32. CrossrefMedlineGoogle Scholar6. SLATOPOLSKYCAGLARPENNEL ESJ. On the pathogenesis of hyperparathyroidism in chronic experimental renal insufficiency in the dog. J Clin Invest. 1971;50:492-9. CrossrefMedlineGoogle Scholar7. SLATOPOLSKYCAGLARGRADOWSKACANTERBURYREISSBRICKER ESLJEN. On the prevention of secondary hyperparathyroidism in experimental chronic renal disease using "proportional reduction" of dietary phosphorus intake. Kidney Int. 1972;2:147-51. CrossrefMedlineGoogle Scholar8. PUGH D. Subperiosteal resorption of bone: a roentgenologic manifestation of primary hyperparathyroidism and renal osteodystrophy. Am J Roentgenol Rad Ther. 1951;66:577-86. Google Scholar9. DOYLE F. Radiological patterns of bone disease associated with renal glomerular failure in adults. Br Med Bull. 1972;28:220-4. CrossrefMedlineGoogle Scholar10. SUNDARAMJOYCESHIELDSRIAZSAGAR MPJMS. Terminal phalangeal tufts: earliest sign of renal osteodystrophy findings in hemodialysis patients. Am J Roentgol. 1979;133:25-90. CrossrefMedlineGoogle Scholar11. SUNDARAMPHILLIPPWOLVERSONRIAZRAO MSMMJ. Ungual tufts in the follow-up of patients on maintenance hemodialysis. Skeletal Radiol. 1980;5:247-9. CrossrefMedlineGoogle Scholar12. BAKIRDUNEA AG. Current trends in the treatment of uremia: a view from the United States. Br Med J 1979;1:914-6. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: MURALI SUNDARAM, M.B., B.S.; MICHAEL K. WOLVERSON, M.B., B.S.Affiliations: St. Louis University Hospital St. Louis, Missouri PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byVeränderungen im Knochenstoffwechsel und/oder an der KnochenmatrixFounders lecture 2007Hyperparathyroidism, Renal Osteodystrophy, Osteomalacia and RicketsVeränderungen im Knochenstoffwechsel und/oder an der KnochenmatrixAluminum induced bone disease: Clinical featuresRenal osteodystrophyCritical analysis of the use of skeletal surveys in patients with chronic renal failureDialysis-Osteomalacia and Renal Osteodystrophy: Pathogenesis, Diagnostic and Clinical ProblemsSelected Health Care Maintenance Policies in Chronic Dialysis CentersVeränderungen im Knochenstoffwechsel und/oder an der Knochenmatrix 1 November 1982Volume 97, Issue 5Page: 780-780KeywordsBoneChronic kidney diseaseHyperparathyroidismPelvisRenal failureRenal transplantationRibsSkullSoft tissuesVertebrae ePublished: 1 December 2008 Issue Published: 1 November 1982 PDF downloadLoading ...