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Bone changes in end-stage oxalosis.

D Brancaccio, A Poggi, C Ciccarelli

    AJR. American Journal of Roentgenology
    |May 1, 1981
    PubMed
    Summary
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    Primary hyperoxaluria causes excess oxalic acid, leading to kidney stones and failure. Dialysis can cause calcium oxalate crystal buildup in bones and tissues, a condition detailed in this report.

    Area of Science:

    • Nephrology
    • Metabolic Diseases
    • Radiology

    Background:

    • Primary hyperoxaluria is a rare genetic disorder of exaggerated oxalic acid production.
    • It leads to recurrent kidney stones, progressive kidney failure, and early mortality.

    Observation:

    • Patients undergoing chronic dialysis may develop a secondary syndrome.
    • This involves intense calcium oxalate crystal deposition in soft tissues and bones.

    Findings:

    • This study reports radiologic findings in four adult patients with chronic renal dialysis.
    • These patients exhibited histologic and clinical evidence of massive bone oxalosis.

    Implications:

    • Understanding oxalate deposition is crucial for managing advanced primary hyperoxaluria.

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  • Radiologic assessment aids in diagnosing and monitoring bone oxalosis in dialysis patients.