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1α-羟维生素D3对血液透析相关肾性骨营养不良患儿的疗效

Effectiveness of 1 alpha-hydroxyvitamin D3 in children with renal osteodystrophy associated with hemodialysis.

作者信息

Chan J C, Oldham S B, DeLuca H F

出版信息

J Pediatr. 1977 May;90(5):820-4. doi: 10.1016/s0022-3476(77)81261-4.

DOI:10.1016/s0022-3476(77)81261-4
PMID:853343
Abstract

Two children who were receiving maintenance hemodialysis were treated with 1 to 4 microng/day of 1 alpha-hydroxyvitamin D3 for 500 to 700 days, respectively. Sequential parathyroid hormone levels and radiologic evaluations showed considerable improvement in one patient. The second patient initially responded with healing of the bone disease. Subsequent deterioration may be related either to medical noncomplicance and/or interference by diphenylhydantoin in the subsequent hepatic 25-hydroxylation of 1 alpha-OH-D3.

摘要

两名正在接受维持性血液透析的儿童分别接受了每天1至4微克的1α-羟基维生素D3治疗,治疗时间分别为500至700天。连续的甲状旁腺激素水平和放射学评估显示,其中一名患者有显著改善。第二名患者最初出现骨病愈合。随后的病情恶化可能与医疗不依从和/或苯妥英对随后1α-OH-D3的肝脏25-羟化的干扰有关。

相似文献

1
Effectiveness of 1 alpha-hydroxyvitamin D3 in children with renal osteodystrophy associated with hemodialysis.1α-羟维生素D3对血液透析相关肾性骨营养不良患儿的疗效
J Pediatr. 1977 May;90(5):820-4. doi: 10.1016/s0022-3476(77)81261-4.
2
[Effects of treatment with 1--alpha-hydroxyvitamin D3 in osteodystrophy in uremic patients undergoing periodical hemodialysis].
Minerva Nefrol. 1980 Oct-Dec;27(4):631-3.
3
1-alpha-hydroxyvitamin D3 in chronic renal failure. A potent analogue of the kidney hormone, 1,25-dihydroxycholecalciferol.
JAMA. 1975 Oct 6;234(1):47-52.
4
[Effects of 1-alpha-hydroxyvitamin D 3 treatment of osteodystrophy in uremic patients treated with periodic hemodialysis].
G Clin Med. 1981 Jul;62(7):443-60.
5
1 alpha-hydroxycholecalciferol in hemodialysis renal osteodystrophy. Adverse effects of anticonvulsant therapy.血液透析肾性骨营养不良中的1α-羟基胆钙化醇。抗惊厥治疗的不良反应。
Clin Nephrol. 1976 Apr;3(2):189-96.
6
Bone disease in children with chronic renal failure: therapy with 1alpha-hydroxyvitamin D3.慢性肾功能衰竭患儿的骨病:1α-羟维生素D3治疗
Clin Endocrinol (Oxf). 1977 Dec;7 Suppl:117s-124s. doi: 10.1111/j.1365-2265.1977.tb03371.x.
7
Effect of 1 alpha-hydroxyvitamin D3 in rats with experimental renal osteodystrophy.1α-羟维生素D3对实验性肾性骨营养不良大鼠的影响。
Endocrinol Jpn. 1979 Jun;26(Suppl):73-9. doi: 10.1507/endocrj1954.26.supplement_73.
8
The effect of 1alpha(OH)D3 and 1alpha,25(OH)2D3 on the bone in patients with renal osteodystrophy.1α(OH)D3和1α,25(OH)2D3对肾性骨营养不良患者骨骼的影响。
Am J Med. 1978 Jan;64(1):101-7. doi: 10.1016/0002-9343(78)90184-5.
9
Dialysis bone disease in childhood: treatment with 25-hydroxycholecalciferol.儿童透析性骨病:用25-羟胆钙化醇治疗
Pediatr Res. 1979 Oct;13(10):1105-8. doi: 10.1203/00006450-197910000-00004.
10
[Effects of 1 alpha-(OH)D3 on renal osteodystrophy--a 5-year retrospective evaluation].
Nihon Jinzo Gakkai Shi. 1982 Jun;24(6):693-704.

引用本文的文献

1
Parathyroid hormone and calcitonin secretion in uraemic infants.尿毒症婴儿的甲状旁腺激素和降钙素分泌
Eur J Pediatr. 1978 Oct 12;129(3):183-90. doi: 10.1007/BF00442162.