RESUMO
Background: during the last few years the spectrum of renal osteodystrophy [ROD] in dialysis patients has been studied thoroughly and the prevalence of the various types of ROD has changed considerably. Whereas until a decade ago most patients presented with secondary hyperparathyroidism [HPTH], adynamic bone [ABD] has become the most common lesion within the dialysis population over the last few years
Materials and Methods: in this study [n=127], the prevalence of ABD in the memorialized patients [more than 3 months dialysis] was evaluated by means of these biochemical markers [especially PTH<100]. Clinical data on the patients included were recorded at the moment of blood sampling
Results: HPTH was found in only15% of the patients, whereas ABD appeared to be the most frequent renal bone disease as it was observed in 44% of the cases. There was no significant difference between groups in age, sex and serum Albumin, Hb levels. Patients with ABD had significantly higher serum calcium and phosphor levels, whilst HPTH patients were associated with higher serum Alp level
Conclusion: ABD is the most prevalent type of ROD in this population