Parathyroid hormone response to hypocalcemia in hemodialysis patients with osteomalacia.

Abstract:

:The parathyroid hormone response to hypocalcemia was investigated in hemodialysis patients with osteomalacia and compared to those with osteitis fibrosa. Hypocalcemia was induced during hemodialysis by employing a dialysate devoid of calcium. Patients with osteomalacia had a blunted maximum amino terminal parathyroid hormone response (+/- SD) (0.39 +/- 0.33 vs. 0.87 +/- 0.53 ng/ml, P less than 0.05) and maximum carboxy terminal parathyroid hormone response (+/- SD) (0.36 +/- 0.20 vs. 0.84 +/- 0.47, P less than 0.02) to hypocalcemia. The decline in plasma calcium was greater in patients with osteomalacia at 90 (P less than 0.05), 120 (P less than 0.01), and 150 min (P less than 0.01). In osteomalacia patients the surface density of histologically detectable trabecular bone aluminum correlated directly with the percent relative osteoid volume (P less than 0.005) and inversely with the maximum amino terminal parathyroid hormone response to hypocalcemia (P less than 0.025). These results suggest that hemodialysis patients with osteomalacia have diminished secretion of parathyroid hormone and a decreased ability to restore plasma calcium homeostasis during hypocalcemia.

journal_name

Kidney Int

journal_title

Kidney international

authors

Andress D,Felsenfeld AJ,Voigts A,Llach F

doi

10.1038/ki.1983.168

subject

Has Abstract

pub_date

1983-09-01 00:00:00

pages

364-70

issue

3

eissn

0085-2538

issn

1523-1755

pii

S0085-2538(15)33038-6

journal_volume

24

pub_type

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