Clinic and therapy of the renal osteopathy : Osteopathy in kidney patients

Author(s): Eichhorn, M.

Journal/Book: Nieren- Hochdruckkrankheiten. 1998; 27(6): 270-273.

Abstract: There are many different reasons for osteopathy in kidney patients besides the lack of vitamin D and the secundary hyperparathyroidism. Patients with adynamic bone disease (ABD) with both low alkaline phosphatase and parathyroid hormon are seen more often. Bone disturbances may commence in the beginning of a kidney disease with proteinuria. Later on a variety of risk factors, e.g. metabolic acidosis, heparin, dialysate calcium, vitamin D medication, magnes dialysate calcium and vitamin-D-therapy. In osteopenia additional low dose fluoride may be indicated. In the future vitamin-D-analogues with less risk of hypercalcemia will be available.

Keyword(s): osteopathie. nieren.

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