Chronic renal failure x ray
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Aarti Narayan, M.B.B.S [2]
Overview
Renal osteodystrophy is a bone pathology, characterized by defective mineralization, that results from long standing renal compromise. It combines features from secondary hyperparathyroidism, osteomalacia and osteoporosis.
It presents with non-specific signs and symptoms like weakness, bone pain and skeletal deformities. The most common complication of renal osteodystrophy is fracture, which may be from osteomalatic bone or osteoporotic bone. Dialysis patients may experience osteomyelitis, septic arthritis, osteonecrosis or carpel tunnel syndrome, whereas renal transplant patients may experience tendonitis, osteonecrosis, tendon rupture or fracture.[1]
X-ray findings
- Osseous resorbtion
- Soft tissue calcification
- Osteopenia
- Amyloid deposition
- Calcification of cartilage (chondrocalcinosis) - typically at the knees and pubic symphysis.
- Bone loss - "patchy" appearance (osteopenia)
- Fractures
X-ray findings in patients on dialysis
- In patients older than 40 years - soft tissue calcification and Monkeberg's medial calcific sclerosis
- In patients younger than 40 years of age - only soft tissue calcification is seen.[2]
Chest X-ray findings
The chest x-ray may show pulmonary edema, which occurs from a combination of fluid overload and abnormal permeability of pulmonary microvasculature.
References
- ↑ Andresen JH, Nielsen HE (1982). "[Extraskeletal calcification in chronic renal failure during hemodialysis and after renal transplantation (author's transl)]". Klinische Wochenschrift (in German). 60 (4): 199–205. PMID 7040783. Unknown parameter
|month=ignored (help) - ↑ Raue I, Lieschke HJ, Börner P (1976). "[X-ray findings in bones of patients with chronic renal insufficiency under chronic hemodialysis program]". Z Gesamte Inn Med (in German). 31 (10): 334–6. PMID 960855. Unknown parameter
|month=ignored (help)