title: Dialysis myopathy. Report of 13 cases.
abstract: Thirteen patients hemodialyzed for chronic renal insufficiency developed progressive paresis of the proximal musculature. Biopsies of the deltoid muscles of ten patients showed selective atrophy of type 2 fibers, the cause of which seems to be related to the osteomalacia present in those patients. Purification of the water for dialysis prior to the procedure prevents the muscle alteration: however, once the lesion is established only renal transplant will permit recovery of the muscle strength of the patient.
mesh_terms: D000328:Adult; D001706:Biopsy; D002908:Chronic Disease; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009132:Muscles / Q000473:pathology; D009133:Muscular Atrophy / Q000209:etiology / Q000473:pathology; D009135:Muscular Diseases / Q000209:etiology / Q000473:pathology*; D006435:Renal Dialysis / Q000009:adverse effects*; D014867:Water
chemical_list: D014867:Water