Borra S I, Kleinfeld M
Department of Medicine, Kingsbrook Jewish Medical Center, Brooklyn, NY 11203, USA.
Am J Kidney Dis. 1995 Nov;26(5):788-91. doi: 10.1016/0272-6386(95)90444-1.
We describe a type III carpotarsal osteolysis patient with nephropathy who has been maintained on chronic hemodialysis for 12 years. The diagnosis of osteolysis was based on x-ray findings and bone biopsy. At the age of 12 years, she developed renal disease that progressed; she was placed on chronic dialysis at the age of 18 years. Blood pressure was controlled by a medical regimen, and her anemia has benefitted from erythropoietin up to a level of 28% to 30%. Her osteolysis has stabilized since the age of 20 years; she is presently 30 years old. The major problem affecting the patient's clinical outcome is hyperphosphatemia.
我们描述了一名患有肾病并接受慢性血液透析12年的III型腕跗骨溶解症患者。骨溶解症的诊断基于X线检查结果和骨活检。12岁时，她患上了逐渐进展的肾病；18岁时开始接受慢性透析。通过药物治疗控制血压，她的贫血通过促红细胞生成素得到改善，血红蛋白水平达到28%至30%。自20岁起，她的骨溶解症病情稳定；她目前30岁。影响患者临床结局的主要问题是高磷血症。
