6533b7defe1ef96bd1275bde
RESEARCH PRODUCT
Multiple osteoartikuläre Komplikationen (dialyse-assoziierte Spondarthropathie) und Karpaltunnelsyndrom bei chronischer Hämodialyse
Thomas PorallaWandel EElisabeth HermannWerner-johannes MayetHans KöhlerMeyer Zum Büschenfelde Khsubject
musculoskeletal diseasesmedicine.medical_specialtySpondyloarthropathyShouldersbusiness.industryAmyloidosisGeneral Medicinemedicine.diseaseComplications dialysisSurgeryOsteopathyArthropathymedicineChronic hemodialysisCarpal tunnel syndromebusinessdescription
Abstract During a nine-year treatment by haemodialysis for renal failure a now 57-year-old woman developed multiple complications of the skeletal system. Acute calcific periarthritis of the right shoulder became manifest one year after the start of the haemodialysis, followed the next years by progressive arthropathy with subchondral amyloid cysts of both shoulders, effusions in the knee-joint and destructive spondylarthropathy of the middle vertebrae. Carpal-tunnel syndrome also occurred, caused by a beta 2-microglobulin amyloidosis (beta 2-microglobulin concentration in serum 42.6 ng/l) and an aluminium osteopathy. These multiple complications, observed here in one patient, are each of them typical long-term complications of chronic haemodialysis.
year | journal | country | edition | language |
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2008-03-25 | DMW - Deutsche Medizinische Wochenschrift |