COMPARISON OF BONE SCANS, PARATHYROID-HORMONE LEVELS AND BONE-MINERAL DENSITIES IN HEMODIALYSIS-PATIENTS

被引:0
作者
KOBASHI, T
OKAMURA, T
OCHI, H
HAGIWARA, S
ONOYAMA, Y
机构
[1] OSAKA CITY UNIV,SCH MED,DIV NUCL MED,OSAKA 545,JAPAN
[2] OSAKA CITY UNIV,SCH MED,DEPT INTERNAL MED 2,OSAKA 545,JAPAN
[3] OSAKA CITY UNIV,SCH MED,DEPT RADIOL,OSAKA 545,JAPAN
关键词
BONE MINERAL DENSITY; BONE SCAN; HYPERPARATHYROIDISM; OSTEITIS FIBROSA; OSTEOMALACIA; PARATHYROID HORMONE; RENAL OSTEODYSTROPHY;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We have evaluated bone scans, parathyroid hormone (PTH) levels and bone mineral densities (BMDs) of hemodialysis (HD) patients. The bone scans were grouped into 4 types (type 1-4). Type 1 showed a diffusely high activity of the tracer in the whole skeleton especially in the skull: secondary hyperparathyroidism pattern. Type 2 showed high background activity, the same pattern as osteomalacia. Type 3 was a mixture of types 1 and 2, Type 4 was almost normal. The PTH levels of type 1 were higher and the radius BMDs were lower than those of the other types. The radius BMDs in one third of type-2 patients were lower than the normal range. A comparison of bone scans, PTH and BMDs helps to evaluate bone changes in HD patients.
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页码:114 / 119
页数:6
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