Prophylactic 1alpha-hydroxyvitamin D3 therapy in haemodialysis patients.

Abstract:

:Twenty-seven patients starting regular haemodialysis were treated with a 1 microgram daily dose of 1alpha-hydroxyvitamin D3 and concurrent aluminium hydroxide therapy to prevent hyperphosphataemia. There was an increase in plasma calcium, but no significant improvement in plasma alkaline phosphatase activity or parathyroid hormone levels. Metastatic calcification progressed but was never a severe clinical problem. Quantitative bone histology showed a significant decrease in resorptive surfaces confirmed radiologically, but there was no significant decrease in forming surfaces. The expected increase in forming surfaces with length of dialysis was however prevented.

journal_name

Clin Endocrinol (Oxf)

journal_title

Clinical endocrinology

authors

Walker GS,Peacock M,Aaron J,Robinson PJ,Davison AM

doi

10.1111/j.1365-2265.1977.tb03372.x

subject

Has Abstract

pub_date

1977-12-01 00:00:00

pages

125s-130s

eissn

0300-0664

issn

1365-2265

journal_volume

7 Suppl

pub_type

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