[Adequate Ca level for dialysis patient (study on medical therapy for secondary hyperparathyroidism in dialysis patient)].
We evaluated our medical therapy of secondary hyperparathyroidism (2 degrees HPT) in dialysis patients. Ten hemodialysis patients with 2 degrees HPT (PTH-C; higher than 10ng/ml) were treated with vitamin D3, large amounts of phosphate binders and calcitonin and data over three years were examined. Our data showed that 2 degrees HPT is manageable by medical therapy. Furthermore, we suggest that the adequate Ca level for dialysis patients is to maintain the Ca (mEq/1) xP (mg/dl) at less than = 35. When plasma P is less than 6mg/dl. The maintenance of this Ca level successfully treated 2 degrees HPT, and this prevent the appearance of renal osteodystrophy (ROD) in dialysis patients.
Sawada
K
K
Department of Internal Medicine (II), Kyoto Prefectural University of Medicine.
Sawada
S
S
Nakagawa
M
M
Ioka
J
J
Tatsumi
T
T
Yoneda
Y
Y
Maki
K
K
D000328:Adult; D000368:Aged; D002117:Calcitriol / Q000008:administration & dosage; D002118:Calcium / Q000008:administration & dosage / Q000097:blood*; D012080:Chronic Kidney Disease-Mineral and Bone Disorder / Q000517:prevention & control; D004044:Dietary Proteins / Q000008:administration & dosage; D005081:Exercise Therapy; D005260:Female; D006801:Humans; D006962:Hyperparathyroidism, Secondary / Q000097:blood / Q000628:therapy*; D007676:Kidney Failure, Chronic / Q000150:complications; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis / Q000009:adverse effects*
D004044:Dietary Proteins; D002117:Calcitriol; D002118:Calcium