Junor BJ, Edward N. Hypohyperparathyroidism: a model for renal osteodystrophy?
Postgrad Med J 1981;
57:371-7. [PMID:
7301683 PMCID:
PMC2424894 DOI:
10.1136/pgmj.57.668.371]
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Abstract
A child who presented with features of renal osteodystrophy but with normal renal function is described. Improvement occurred both on large doses of vitamin D and small doses of 1, alpha-hydroxy-vitamin D3 (1, alpha-OHD3). Investigations suggested that the primary defect was an impaired renal response to parathyroid hormone. The relationship between renal osteodystrophy, abnormalities of vitamin D metabolism and hypohyperparathyroidism is discussed and an alternative hypothesis for the development of renal bone disease suggested.
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