renal osteodystrophy

1. glomerular form (chronic glomerulonephritis)
2. tubular form (congenital renal osteodystrophy)

• osteomalacia (adults): acquired insensitivity to vitamin D
  • diffuse osteopenia
  • milkman fracture, Looser zones
  • rickets (children)

• osteitis fibrosa

• osteosclerosis: one of the most common radiological manifestations
  • diffuse chalky density
  • thoracolumbar spine in 60%: "rugger jersey spine"
  • also in pelvis, ribs, long bones, facial bones, base of skull (kids)

• soft tissue calcifications
  • arteries, periarticular, cutaneous/subcutaneous viscera
  • fluffy amorphous "tumoral" calcification

© 2002, C.E. Kahn, Jr.
2002-04-18