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Journal of the Korean Society of Pediatric Nephrology 2005;9(1): 102-107.
심각한 골격계 변형을 보인 신성 골이양증 1례
서현아, 이주훈, 한혜원, 박영서
1울산대학교 의과대학 소아과학교실
2울산대학교 의과대학 소아과학교실
3을지대학교 의과대학 소아과학교실
4울산대학교 의과대학 소아과학교실
A Case of Renal Osteodystrophy with Severe Bone Deformity
Hyun-Ah Suh, Joo-Hoon Lee, Hye-Won Hahn, Young-Seo Park
1Department of Pediatrics, University of Ulsan College of Medicine, Asan Medicine Center
2Department of Pediatrics, University of Ulsan College of Medicine, Asan Medicine Center
3Department of Pediatrics, University of Eulji College of Medicine
4Department of Pediatrics, University of Ulsan College of Medicine, Asan Medicine Center
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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 whorl osteodystrophy is severe and poorly controlled. We report an eight-year-old boy with ctironic renal failure who developed severe bone deformities and needed osteotomy.
Key words: Chronic renal failure | Renal osteodystrophy | Osteotomy
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