Csont scintigráfia végzése uraemiás osteodystrophiában.

Translated title of the contribution: Bone scintigraphy in uremic osteodystrophy

J. Mátyus, G. Bakó, L. Bajnok, G. Kakuk, A. Leövey

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Abstract

99mTc-HEDP bone scan was carried out on 12 long-time haemodialysed patients, suffering from bone pains. X-ray examinations of the bone and laboratory tests (serum calcium, -phosphor, -alkaline phosphatase, -parathormone, -aluminium, -ferritin) were also performed. The scintigrams were evaluated by two semiquantitative scores. Based on diffuse, increased radiopharmacon uptake of the bones and more than five points in the Fogelman score 5 patients most likely had serious and 3 had moderate hyperparathyroidism. In two patients osteomalacy was presumed based on decreased radiopharmacon uptake of the bones, increased uptake of the soft tissues and zero Fogelman score. Mixed or other bone disease was suggested in two other patients. Good correlation was found between the results of bone scans, the parathormone values and the results of histology obtained after parathyreoidectomy of 4 patients and autopsy of two others. This non-invasive examination (ie. bone scan) is helpful in differential diagnosis of uraemic osteodystrophy and its wide use is proposed in domestic nephrological practice.

Original languageHungarian
Pages (from-to)2731-2735
Number of pages5
JournalOrvosi hetilap
Volume130
Issue number51
Publication statusPublished - Dec 17 1989

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ASJC Scopus subject areas

  • Medicine(all)

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