Abstract
Out of 54 patients requiring haemodialysis approximately one quarter were found to have periosteal new bone associated with severe renal osteodystrophy. This feature has been analysed and correlated with biochemical, clinical, and histological parameters. No direct correlation was found with the duration of haemodialysis, but there is a good correlation with histological indices of osteitis fibrosa and serum parathormone levels. Periosteal new bone regressed or totally disappeared in eight patients after parathyroidectomy and renal transplantation. It is suggested that periosteal new bone may be a useful indicator of hyperparathyroidism in this type of patient.
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Coburn JW, Llach F (1979) Renal osteodystrophy and maintenance dialysis. In: Drukker W, Parsons FM, Maher JF (eds) Replacement of renal function by dialysis. Martinus Nijhoff, The Hague
Heath DA, Martin DJ (1970) Periosteal new bone formation in hyperparathyroidism associated with renal failure. Br J Radiol 43:517
Jensen PS, Kliger AS (1977) Early radiographic manifestations of secondary hyperparathyroidism associated with chronic renal disease. Radiology 124:645
Meema HE (1977) Recognition of cortical bone resorption in metabolic bone disease in vivo. Skeletal Radiol 2:11
Meema HE, Rabinovich S, Meema S, Lloyd GJ, Oreopoulos DG (1972) Improved radiological diagnosis of azotemic osteodystrophy. Radiology 102:1
Meema HE, Oreopoulos DG, Rabinovich S, Hesdan H, Rapoport A (1974) Periosteal new bone formation (periosteal neostosis) in renal osteodystrophy. Radiology 110:513
Ritz E, Prager P, Krempien B, Bommer J, Malluche HH, Schmidt-Gayk H (1978) Skeletal X-ray findings and bone histology in patients on hemodialysis. Kidney Int 13:316
Smith F, Junor B (1977) Xeroradiography of the hand in patients with renal osteodystrophy. Br J Radiol 50:261
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Tamarozzi, R., Bedani, P.L., Scutellari, P.N. et al. Periosteal new bone in uraemic osteodystrophy. Skeletal Radiol 11, 50–53 (1984). https://doi.org/10.1007/BF00361133
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DOI: https://doi.org/10.1007/BF00361133