A Case of Renal Osteodystrophy with Severe Bone Deformity

Suh, Hyun-Ah; Lee, Joo-Hoon; Hahn, Hye-Won; Park, Young-Seo

J Korean Soc Pediatr Nephrol > Volume 9(1); 2005 > Article

J Korean Soc Pediatr Nephrol 2005;9(1): 102-107.

심각한 골격계 변형을 보인 신성 골이양증 1례

서현아, 이주훈, 한혜원, 박영서

¹울산대학교 의과대학 소아과학교실
²울산대학교 의과대학 소아과학교실
³을지대학교 의과대학 소아과학교실
⁴울산대학교 의과대학 소아과학교실

A Case of Renal Osteodystrophy with Severe Bone Deformity

Hyun-Ah Suh, Joo-Hoon Lee, Hye-Won Hahn, Young-Seo Park

¹Department of Pediatrics, University of Ulsan College of Medicine, Asan Medicine Center
²Department of Pediatrics, University of Ulsan College of Medicine, Asan Medicine Center
³Department of Pediatrics, University of Eulji College of Medicine
⁴Department of Pediatrics, University of Ulsan College of Medicine, Asan Medicine Center

ABSTRACT

With the advent of hemodialysis, the success of renal transplants in the 1960s and the wide use of continuous ambulatory peritoneal dialysis at the end of the 1970s, children with renal failure now enjoy an extended life span. As a result, several children experience renal osteodystrophy and growth retardation. Renal osteodystrophy is induced by phosphorus retention, hypocalcemia, low vitamin D levels and hyperparathyroidism. The pharmacologic interventions are used to prevent bone deformities and to normalize growth velocity. But surgical intervention is required sometimes when osteodystrophy is severe and poorly controlled. We report an eight-year-old boy with chronic renal failure who developed severe bone deformities and needed osteotomy.

Key words: Chronic renal failure | Renal osteodystrophy | Osteotomy