Osteomalacia after parathyroidectomy in patients with uremia.

Published

Journal Article

Five patients on maintenance dialysis had symptoms of osteomalacia, proven by biopsy, after parathyroidectomy. In all five patients clinical and radiographic manifestations of secondary hyperparathyroidism were present before surgery, and in two patients preoperative biopsy of bone confirmed the existence of osteitis fibrosa. Like previously described patients with osteomalacia all five had multiple fractures and normal or high serum calcium concentrations that rose to abnormally high values on treatment with vitamin D or dihydrotachysterol. Quantitative histomorphometry of biopsy after parathyroidectomy showed no residual parathyroid hormone effect and nearly complete cessation of mineralization. Four patients had forearm autografts of parathyroid tissue that appeared to be functioning at very low rates according to paired venous sampling, and all five patients had relatively low circulating concentrations of parathyroid hormone. This and earlier experiences reported by others suggest that secondary hyperparathyroidism may have an important facilitative role in the mineralization of bone in uremic patients.

Full Text

Duke Authors

Cited Authors

  • Felsenfeld, AJ; Harrelson, JM; Gutman, RA; Wells, SA; Drezner, MK

Published Date

  • January 1, 1982

Published In

Volume / Issue

  • 96 / 1

Start / End Page

  • 34 - 39

PubMed ID

  • 7053699

Pubmed Central ID

  • 7053699

International Standard Serial Number (ISSN)

  • 0003-4819

Digital Object Identifier (DOI)

  • 10.7326/0003-4819-96-1-34

Language

  • eng

Conference Location

  • United States