A patient undergoing chronic dialysis whose renal anemia was successfully corrected by treatment with cinacalcet
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- 作者：Yoshiyuki Oshiro (12) y.oshiro@kawasaki-hp.jp
Hisataka Tanaka (12)
Niro Okimoto (2) - 关键词：Cinacalcet – ; Secondary hyperparathyroidism – ; Renal anemia
- 刊名：Clinical and Experimental Nephrology
- 出版时间：August 2011
- 出版年：2011
- 期刊代码：37_1342-1751
- 类别：med
- 卷：15
- 期：4
- 页码：607-610
- 数据来源：sp
摘要
A 62-year-old female dialysis patient with chronic glomerulonephritis had been receiving hemodialysis therapy for 32 years. In 1985 she underwent a parathyroidectomy for secondary hyperparathyroidism (HPT); however, her parathyroid hormone (PTH) levels gradually increased. Her serum calcium level ranged from 9.0 to 10.0 mg/dL, which caused difficulties in performing vitamin D injection therapy. No parathyroid glands were seen by echography or scintigraphy. On 31 March 2008 her intact PTH (iPTH) level was 895 pg/mL so treatment with cinacalcet 25 mg/day was started. After 3 months her iPTH level decreased to 269 pg/mL and her hemoglobin level increased from 9.3 to 12.9 g/dL. In some cases of severe HPT, anemia improves after parathyroidectomy; however, in this case, cinacalcet improved not only secondary HPT but also anemia.