Utilize este identificador para referenciar este registo: http://hdl.handle.net/10400.17/1794
Título: Mineral and Bone Disease (MBD) on a Kidney Transplant Patient
Outros títulos: Doença Mineral e Óssea (DMO) num Transplantado Renal
Autor: Birne, R
Adragão, T
Ferreira, A
Dickson, J
Silva, R
Casqueiro, A
Oliveira, R
Martins, AR
Torres, J
Matias, P
Branco, P
Jorge, C
Weigert, A
Bruges, M
Machado, D
Palavras-chave: HCC NEF
Biópsia
Hipercalcemia
Transplantação de Rim
Osteoporose
Data: 2014
Editora: Sociedade Portuguesa de Nefrologia e Hipertensão
Citação: Port J Nephrol Hypert 2014; 28(1): 69-75
Resumo: A 50-year-old post-menopausal recipient of a kidney allograft with bone pain, osteoporosis, persistent hypercalcaemia and elevated parathormone (PTH) levels, despite a satisfactory graft function, was treated with bisphosphonates and cinacalcet starting, respectively, 5 and 6 months after renal transplantation (RT). Sixteen months after treatment, there was improvement of bone mineral density (BMD) measured by dualenergy X-ray absorptiometry (DEXA). A bone biopsy was taken, unveiling a surprising and worrisome result. Post-RT bone disease is different from classic CKD-MBD and should be managed distinctly, including, in some difficult cases, an invasive evaluation through the performance of a bone biopsy, as suggested in the KDIGO guidelines.
Peer review: yes
URI: http://hdl.handle.net/10400.17/1794
Aparece nas colecções:NEF - Artigos

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