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家族性低磷性维生素D抵抗性佝偻病年轻成人的骨矿物质含量增加。

Increased bone mineral content in young adults with familial hypophosphatemic vitamin D refractory rickets.

作者信息

Harrison J E, Cumming W A, Fornasier V, Fraser D, Kooh S W, McNeill K G

出版信息

Metabolism. 1976 Jan;25(1):33-40. doi: 10.1016/0026-0495(76)90157-8.

DOI:10.1016/0026-0495(76)90157-8
PMID:173975
Abstract

Seven adults with familial hypophosphatemia have been investigated by histologic and radiographic examination of bone, and estimates of bone mineral status by in vivo neutron activation analysis (IVNAA). Histological examination showed severe osteomalacia and osteosclerosis in all cases. Radiography showed skeletal deformities and other sequelae of severe rickets of childhood in five of the seven cases, with, in addition, thickened well-mineralized bones; the other two showed normal radiographs. IVNAA measurements showed that the first five had greater than normal bone calcium and that the other two had normal values. Thus, in all cases there is a greater than normal total bone tissue (osteoid and mineralized bone together). The quantitative body calcium measurements show clearly that osteosclerosis occurs in familial hypophosphatemia, confirming the opinions based on histological and radiological data. Although there has been occasional reference to this sclerosis in the literature, up to the present it has received little attention.

摘要

对7名患有家族性低磷血症的成年人进行了骨组织学和放射学检查,并通过体内中子活化分析(IVNAA)评估骨矿物质状态。组织学检查显示所有病例均有严重的骨软化症和骨硬化症。放射学检查显示,7例中有5例存在骨骼畸形和儿童期严重佝偻病的其他后遗症,此外还有骨矿化良好的骨骼增厚;另外2例放射学检查结果正常。IVNAA测量显示,前5例骨钙高于正常,另外2例数值正常。因此,在所有病例中,总的骨组织(类骨质和矿化骨)均高于正常。体内钙定量测量清楚地表明,家族性低磷血症会出现骨硬化症,这证实了基于组织学和放射学数据得出的观点。尽管文献中偶尔提及这种硬化症,但迄今为止它很少受到关注。

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Increased bone mineral content in young adults with familial hypophosphatemic vitamin D refractory rickets.家族性低磷性维生素D抵抗性佝偻病年轻成人的骨矿物质含量增加。
Metabolism. 1976 Jan;25(1):33-40. doi: 10.1016/0026-0495(76)90157-8.
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Hypophosphatemic vitamin D refractory rickets and osteomalacia.
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Burden of disease associated with X-linked hypophosphataemia in adults: a systematic literature review.成人X连锁低磷血症相关的疾病负担:一项系统文献综述
Osteoporos Int. 2021 Jan;32(1):7-22. doi: 10.1007/s00198-020-05548-0. Epub 2020 Jul 24.
2
High bone mineral apparent density in children with X-linked hypophosphatemia.X 连锁低磷血症患儿的高骨矿物质表观密度。
Osteoporos Int. 2013 Aug;24(8):2215-21. doi: 10.1007/s00198-013-2286-9. Epub 2013 Feb 7.
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Familial hypophosphatemic rickets: bone mass measurements in children following therapy with calcitriol and supplemental phosphate.
家族性低磷血症性佝偻病:骨化三醇和补充磷酸盐治疗后儿童的骨量测量
Calcif Tissue Int. 1989 Feb;44(2):86-92. doi: 10.1007/BF02556466.
4
In vivo neutron activation analysis for bone calcium (INVAA) in malignant hyperthermia susceptible patients.
Can Anaesth Soc J. 1979 Mar;26(2):117-24. doi: 10.1007/BF03013780.
5
Osteomalacia and altered magnesium metabolism in the X-linked hypophosphatemic mouse.X连锁低磷血症小鼠中的骨软化症与镁代谢改变
Calcif Tissue Int. 1979 Mar 13;27(1):19-26. doi: 10.1007/BF02441156.