Metabolic Bone Disease
A 58-year-old male with end-stage renal disease on haemodialysis for 5 years presents with diffuse bone pain and proximal muscle weakness. Laboratory tests show elevated PTH (800 pg/mL), low calcium, high phosphate, and low 1,25-dihydroxyvitamin D. Spine radiograph shows alternating bands of sclerosis and lucency. Regarding renal osteodystrophy and secondary hyperparathyroidism:
Mark each as TRUE or FALSE
Renal osteodystrophy encompasses the spectrum of bone disease occurring in chronic kidney disease, i...
The pathophysiology involves decreased renal 1-alpha-hydroxylase activity leading to reduced 1,25-di...
Renal osteodystrophy only causes osteoporosis with no other bone manifestations; PTH levels are typi...
The rugger jersey spine describes alternating bands of sclerosis (endplates) and lucency (vertebral ...
Other radiographic features include subperiosteal resorption (radial aspect of middle phalanges), br...
Answer the questions to see explanations
Click T (True) or F (False) for each option