Osteonecrosis in patients receiving dialysis: report of two cases and review of the literature.
Two patients receiving maintenance dialysis therapy developed osteonecrosis, the first in the humeral head and the second in the talus. Both patients lacked known risk factors for developing osteonecrosis. A possible pathogenic role of secondary hyperparathyroidism in this disorder is suggested. Rheumatologists evaluating patients receiving maintenance dialysis with rheumatic manifestations should be aware of this potential complication.
University of Toronto Rheumatic Diseases Unit, Wellesley Hospital, ON, Canada.
P
P
Langevitz
D
D
Buskila
J
J
Stewart
D J
DJ
Sherrard
G
G
Hercz
D000328:Adult; D000368:Aged; D000843:Ankle Joint / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications* / Q000628:therapy; D008297:Male; D010020:Osteonecrosis / Q000150:complications* / Q000000981:diagnostic imaging; D010531:Peritoneal Dialysis, Continuous Ambulatory; D011859:Radiography; D006435:Renal Dialysis; D012785:Shoulder Joint / Q000000981:diagnostic imaging