Adynamic bone disease associated with chronic kidney disease
- Wajeh Y Qunibi, MD
Wajeh Y Qunibi, MD
- Professor of Medicine
- University of Texas Health Sciences Center
- William L Henrich, MD, MACP
William L Henrich, MD, MACP
- Professor of Medicine
- President of the Health Science Center
- University of Texas Health Science Center School of Medicine
Disorders of mineral and bone metabolism are common sequelae of chronic kidney disease (CKD). Such disorders have traditionally been collectively termed renal osteodystrophy. However, disorders of bone and mineral metabolism in progressive CKD are frequently associated with abnormalities in cardiovascular structures and function, and bone is now recognized as an endocrine organ that plays an active role in the various metabolic abnormalities and in the cardiovascular complications commonly encountered in CKD patients . Consequently, an international work group convened in 2006 by Kidney Disease: Improving Global Outcomes (KDIGO) recommended that the term, renal osteodystrophy, be exclusively used to define bone pathology associated with CKD. KDIGO recommended the term chronic kidney disease-mineral and bone disorder (CKD-MBD) be used to describe the much broader systemic disorder that occurs as a result of CKD [2,3].
CKD-MBD is a systemic disorder that develops in the course of CKD and may manifest by one or more of the following:
●Abnormalities of calcium, phosphorus, parathyroid hormone (PTH), or vitamin D metabolism
●Abnormalities in bone turnover, mineralization, volume linear growth, or strength
●Vascular or other soft-tissue calcification
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