Abstract | CONTEXT: OBJECTIVE: RESULTS: CONCLUSION:
Hemodialysis does not heal the skeletal disease of HPP. During sudden fracture immobilization in HPP, sufficient calcium can emerge from bone, perhaps from a rapidly exchangeable calcium pool, to cause acute severe hypercalcemia if the kidneys cannot compensate for the mineral efflux. Hence, we worry that acute hypercalcemia might accompany sudden immobilization in CRF patients without HPP if they have adynamic bone disease.
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Authors | Michael P Whyte, Rattana Leelawattana, William R Reinus, Chang Yang, Steven Mumm, Deborah V Novack |
Journal | The Journal of clinical endocrinology and metabolism
(J Clin Endocrinol Metab)
Vol. 98
Issue 12
Pg. 4606-12
(Dec 2013)
ISSN: 1945-7197 [Electronic] United States |
PMID | 24064686
(Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't)
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Topics |
- Accidental Falls
- Confusion
(etiology, prevention & control)
- Fracture Fixation
(adverse effects)
- Fractures, Bone
(complications, etiology, surgery, therapy)
- Humans
- Hypercalcemia
(etiology, physiopathology, prevention & control)
- Hypophosphatasia
(complications, physiopathology)
- Kidney Failure, Chronic
(complications, therapy)
- Male
- Middle Aged
- Osteomalacia
(etiology, physiopathology)
- Renal Dialysis
- Restraint, Physical
(adverse effects)
- Severity of Illness Index
- Time Factors
- Treatment Outcome
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