J Korean Soc Pediatr Nephrol.  2005 Apr;9(1):102-107.

A Case of Renal Osteodystrophy with Severe Bone Deformity

Affiliations
  • 1Department of Pediatrics, University of Ulsan College of Medicine, Asan Medical Center, Korea. yspark@amc.seoul.kr
  • 2Department of Pediatrics, University of Eulji College of Medicine, Seoul, Korea.

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.

Keyword

Chronic renal failure; Renal osteodystrophy; Osteotomy

MeSH Terms

Child
Congenital Abnormalities*
Humans
Hyperparathyroidism
Hypocalcemia
Kidney Failure, Chronic
Male
Osteotomy
Peritoneal Dialysis, Continuous Ambulatory
Phosphorus
Renal Dialysis
Renal Insufficiency
Renal Osteodystrophy*
Vitamin D
Phosphorus
Vitamin D
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