Special Article - Nephrology & Dialysis
Austin J Nephrol Hypertens. 2014;1(3): 1013.
Mingxia Xiong, Yang Zhou, Bing Tang, Gong Chen and Junwei Yang*
Center for Kidney Disease, Nanjing Medical University, China
*Corresponding author: Junwei Yang, Center for Kidney Disease, 2nd Affiliated Hospital, Nanjing Medical University, 262 North Zhongshan Road, Nanjing, Jiangsu 210003, China
Received: September 05, 2014; Accepted: September 09, 2014; Published: September 11, 2014
A 35-year-old male patient came to hospital with the complaint of systemic bone pain for four years. He has a history of uremia and has undergone hemodialysis three times a week for more than eight years. He has endured systemic bone pain, refractory skin pruritus, height shorten and bone fracture since 2010. What is the diagnosis?
Skull X-ray showed multiple patchy dense shadows; structures of inner and outer plates and diploe were obscure. His serum intact parathyroid hormone (iPTH) was up to 3272.0pg/ml. Serum calcium and phosphorus was 2.22mmol/L and 1.53mmol/L, respectively. He was diagnosed of secondary hyperthyroidism, uremia and renal osteodystrophy.