Osteomalacia and Insufficiency Fracture in a Hemodialysis Patient with Autosomal Dominant Polycystic Kidney Disease
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- Hiramatsu Rikako
- Nephrology Center, Toranomon Hospital, Japan
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- Ubara Yoshifumi
- Nephrology Center, Toranomon Hospital, Japan Okinaka Memorial Institute for Medical Research, Japan
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- Suwabe Tatsuya
- Nephrology Center, Toranomon Hospital, Japan
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- Sumida Keiichi
- Nephrology Center, Toranomon Hospital, Japan
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- Hayami Noriko
- Nephrology Center, Toranomon Hospital, Japan
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- Yamanouchi Masayuki
- Nephrology Center, Toranomon Hospital, Japan
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- Mise Koki
- Nephrology Center, Toranomon Hospital, Japan
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- Hasegawa Eiko
- Nephrology Center, Toranomon Hospital, Japan
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- Hoshino Junichi
- Nephrology Center, Toranomon Hospital, Japan
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- Sawa Naoki
- Nephrology Center, Toranomon Hospital, Japan
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- Takaichi Kenmei
- Nephrology Center, Toranomon Hospital, Japan Okinaka Memorial Institute for Medical Research, Japan
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抄録
A 61-year-old Japanese woman on hemodialysis with autosomal dominant polycystic kidney disease (ADPKD) was admitted to the hospital with gluteal pain. Radiographs demonstrated a fracture of the left pubis. The serum 1,25(OH)2-vitamin D and 25(OH)-vitamin D levels were low. A biopsy of the right iliac crest disclosed osteomalacia. Active vitamin D sterol was administered in conjunction with dietary modification. Her gluteal pain was resolved three years later, and healing of the fracture was confirmed by radiology. This case emphasizes that vitamin D deficiency and malnutrition can cause osteomalacia in dialysis patients, even if calcium (Ca) and phosphate (P) levels are controlled by calcium carbonate.<br>
収録刊行物
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- Internal Medicine
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Internal Medicine 51 (23), 3277-3280, 2012
一般社団法人 日本内科学会