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A patient undergoing chronic dialysis whose renal anemia was successfully corrected by treatment with cinacalcet

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Abstract

A 62-year-old female dialysis patient with chronic glomerulonephritis had been receiving hemodialysis therapy for 32 years. In 1985 she underwent a parathyroidectomy for secondary hyperparathyroidism (HPT); however, her parathyroid hormone (PTH) levels gradually increased. Her serum calcium level ranged from 9.0 to 10.0 mg/dL, which caused difficulties in performing vitamin D injection therapy. No parathyroid glands were seen by echography or scintigraphy. On 31 March 2008 her intact PTH (iPTH) level was 895 pg/mL so treatment with cinacalcet 25 mg/day was started. After 3 months her iPTH level decreased to 269 pg/mL and her hemoglobin level increased from 9.3 to 12.9 g/dL. In some cases of severe HPT, anemia improves after parathyroidectomy; however, in this case, cinacalcet improved not only secondary HPT but also anemia.

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Acknowledgments

This paper was supported in part by grant from The Kidney Foundation, Japan (JKFB09-46).

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Authors and Affiliations

  1. Division of Nephrology, Department Internal Medicine, Kawasaki Medical School Kawasaki Hospital, 2-1-80 Nakasange, Kitaku, Okayama, Okayama, 700-8505, Japan

    Yoshiyuki Oshiro & Hisataka Tanaka

  2. Department of General Internal Medicine 1, Kawasaki Medical School, Okayama, Japan

    Yoshiyuki Oshiro, Hisataka Tanaka & Niro Okimoto

Authors
  1. Yoshiyuki Oshiro
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  2. Hisataka Tanaka
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  3. Niro Okimoto
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Correspondence to Yoshiyuki Oshiro.

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Oshiro, Y., Tanaka, H. & Okimoto, N. A patient undergoing chronic dialysis whose renal anemia was successfully corrected by treatment with cinacalcet. Clin Exp Nephrol 15, 607–610 (2011). https://doi.org/10.1007/s10157-011-0433-1

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  • DOI: https://doi.org/10.1007/s10157-011-0433-1

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