심각한 골격계 변형을 보인 신성 골이양증 1례
A Case of Renal Osteodystrophy with Severe Bone Deformity
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저자들은 신성 골이양증을 내과적으로 치료하였으나 호전되지 않아 골격계 변형을 초래하여 수술적 치료를 시행한 1례를 경험하였기에 보고하는 바이다.
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.
참고문헌 (15)
- Fassier F, "Renal osteodystrophy in children:Correlation between aetiology of the renal disease and the frequency of bone and articular lesions", 17, pp.269~71 (1993)
- Barrett IR, "Skeletal disorders in children with renal failure", 16, pp.264~72 (1996)
- Sanchez CP, "Prevention and treatment of renal osteodystrophy in children with chronic renal insufficiency and end-stage renal disease", 21, pp.441~50 (2001)
- Pazianas M, "Identification of risk factors for radiographic hyperparathyroidism in 422 patients with end-stage renal disease:Development of a clinical predictive index", 7, pp.1098~105 (1992)
- Loghman-Adham M, "Safety of new phosphate binders for chronic renal failure", 26, pp.1093~115 (2003)
- Henderson J, "Sevelamer", 94, pp.53~8 (2003)
- Olson JA Jr, "Surgical management of secondary hyperparathyroidism", 9, pp.209~18 (2002)
- Llach F, "Parathyroidectomy in chronic renal failure:Indications,surgical approach and the use of calcitriol", 29, pp.62~8 (1990)
- Stein MS, "Large,rapid skeletal changes after parathyroidectomy", 48, pp.191~4 (1997)
- Yamate T, "Long- term effect after total parathyroidectomy with autotransplantation for secondary hyperparathyroidism", 42, pp.105~9 (1996)
- Block GA, "Cinacalcet for secondary hyperparathyroidism in patients receiving hemodialysis", 350, pp.1516~25 (2004)
- Cunningham J, "New vitamin D analogues for osteodystrophy in chronic kidney disease", 19, pp.705~8 (2004)
- Mehls O, "Recent advances and controversies in childhood renal osteodystrophy", 1, pp.212~23 (1998)
- Davids JR, "Angular deformity of the lower extremity in children with renal osteodystrophy", 12, pp.291~9 (1992)
- Oppenheim WL, "Surgical correction of angular deformity of the knee in children with renal osteodystrophy", 17, pp.41~9 (1997)