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Pediatric Nephrology received the following question for its Ask the Expert section: ‘What concentration of plasma calcium phosphate and bicarbonate should one hope to achieve, how should plasma calcium be measured, as total calcium or ionised calcium, and how important is it to assess and suppress parathyroid hormone level? What is the value of regular X-ray of the hands and wrists and should urine and calcium phosphate excretion be measured? What are the indications for bone biopsy, and please could you advise concerning the treatment with calcium carbonate or calcium acetate and calcitriol?”
Bearing in mind this is a controversial issue we asked two experts in the field, Dr. Isidro Salusky and Dr. Susan Rigden, to reply.
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Salusky, I.B., Goodman, W.G. The management of renal osteodystrophy. Pediatr Nephrol 10, 651–653 (1996). https://doi.org/10.1007/s004670050183
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DOI: https://doi.org/10.1007/s004670050183