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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 |
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container_issue | 2 |
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container_title | Clinical kidney journal |
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creator | Giamalis, Panagiotis Economidou, Dominiki Dimitriadis, Chrysostomos Memmos, Dimitrios Papagianni, Aikaterini 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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