title: [Unusual course of renal osteopathy with Paget's disease and aluminum deposits].
abstract: In a woman with chronic renal failure due to interstitial nephritis after chronic analgesic abuse, secondary hyperparathyroidism was at first the predominant feature during a one-year period of dialysis. After parathyroidectomy severe aluminium-induced osteomalacia dominated the picture in the final phase. Surprisingly hyperparathyroidism recurred despite removal of all glandular tissue, and there also developed--previously undescribed--Paget's disease.
mesh_terms: D000535:Aluminum / Q000009:adverse effects / Q000032:analysis*; D000700:Analgesics / Q000009:adverse effects; D001842:Bone and Bones / Q000032:analysis; D012080:Chronic Kidney Disease-Mineral and Bone Disorder / Q000150:complications* / Q000209:etiology; D005260:Female; D006801:Humans; D006961:Hyperparathyroidism / Q000209:etiology / Q000601:surgery; D007676:Kidney Failure, Chronic / Q000209:etiology* / Q000628:therapy; D008875:Middle Aged; D009395:Nephritis, Interstitial / Q000150:complications; D010001:Osteitis Deformans / Q000150:complications / Q000209:etiology*; D010018:Osteomalacia / Q000139:chemically induced*; D010280:Parathyroid Glands / Q000601:surgery; D006435:Renal Dialysis
chemical_list: D000700:Analgesics; D000535:Aluminum
vernacular_title: Ungewöhnliche Verlaufsform einer renalen Osteopathie mit Morbus Paget und Aluminiumablagerungen.