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Arthritis associated with calcium oxalate crystals in an anephric patient treated with peritoneal dialysis
A Rosenthal1, L M Ryan, D J McCarty
1Department of Medicine, Medical College of Wisconsin, Milwaukee 53226.
JAMA
|September 2, 1988
Abstract:
We report a case of calcium oxalate arthropathy in a woman undergoing intermittent peritoneal dialysis who was not receiving pharmacologic doses of ascorbic acid. She developed acute arthritis, with calcium oxalate crystals in Heberden's and Bouchard's nodes, a phenomenon previously described in gout. Intermittent peritoneal dialysis may be less efficient than hemodialysis in clearing oxalate, and physicians should now consider calcium oxalate-associated arthritis in patients undergoing peritoneal dialysis who are not receiving large doses of ascorbic acid.