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Treatment of adynamic bone disease in a haemodialysis patient with teriparatide

Prevalence of adynamic bone disease (ABD), characterized by low bone turnover and absence or a reduced number of osteoblasts and osteoclasts, is increasing steadily over the last years. We present a dialysis patient, with recurrent bone fractures and biopsy-proven ABD, who was treated with teriparat...

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Published in:Clinical kidney journal 2015-04, Vol.8 (2), p.188-190
Main Authors: Giamalis, Panagiotis, Economidou, Dominiki, Dimitriadis, Chrysostomos, Memmos, Dimitrios, Papagianni, Aikaterini, Efstratiadis, Georgios
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cited_by cdi_FETCH-LOGICAL-c408t-6603fa0198115a4cf8eb920ac440a80ea275fb20516abb8d9c831430851ee81a3
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container_issue 2
container_start_page 188
container_title Clinical kidney journal
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creator Giamalis, Panagiotis
Economidou, Dominiki
Dimitriadis, Chrysostomos
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Efstratiadis, Georgios
description Prevalence of adynamic bone disease (ABD), characterized by low bone turnover and absence or a reduced number of osteoblasts and osteoclasts, is increasing steadily over the last years. We present a dialysis patient, with recurrent bone fractures and biopsy-proven ABD, who was treated with teriparatide. Nine months after initiation of treatment, iPTH plasma levels increased to 520 pg/mL and a second bone biopsy revealed high bone turnover, normal mineralization and normal bone volume. Two years later, iPTH was 250–350 pg/dL and bone metabolism parameters within normal range. The probable utility of teriparatide in the treatment of ABD in dialysis patients is discussed.
doi_str_mv 10.1093/ckj/sfv005
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title Treatment of adynamic bone disease in a haemodialysis patient with teriparatide
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