Abstract
Forty-one patients on our chronic hemodialysis program were assessed for the degree of progression of bone disease over an average period of 46 months. Seven patients were using a fluoridated dialysate. Four of these seven patients developed a marked increase in osteoid as judged by bone biopsy, while in the nonfluoridated group the amount of osteoid remained within normal limits.
In the absence of fluoride, although osteitis fibrosa occurred, it was reversible in 10 out of 12 cases by dihydrotachysterol treatment, and overall there was no evidence of progression of bone disease at the end of the study period.
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Selected References
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- CAMERON J. R., SORENSON J. MEASUREMENT OF BONE MINERAL IN VIVO: AN IMPROVED METHOD. Science. 1963 Oct 11;142(3589):230–232. doi: 10.1126/science.142.3589.230. [DOI] [PubMed] [Google Scholar]
- DeVeber G. A., Oreopoulos D. G., Rabinovich S., Lloyd G. J., Meema H. E., Beattie B. L., Levy D., Husdan H., Rapoport A. Changing pattern of renal osteodystrophy with chronic hemodialysis. Trans Am Soc Artif Intern Organs. 1970;16:479–485. [PubMed] [Google Scholar]
- Faccini J. M. Fluoride and bone. Calcif Tissue Res. 1969;3(1):1–16. doi: 10.1007/BF02058641. [DOI] [PubMed] [Google Scholar]
- Fournier A. E., Johnson W. J., Taves D. R., Beabout J. W., Arnaud C. D., Goldsmith R. S. Etiology of hyperparathyroidism and bone disease during chronic hemodialysis. I. Association of bone disease with potentially etiologic factors. J Clin Invest. 1971 Mar;50(3):592–598. doi: 10.1172/JCI106529. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Fry B. W., Taves D. R. Serum fluoride analysis with the fluoride electrode. J Lab Clin Med. 1970 Jun;75(6):1020–1025. [PubMed] [Google Scholar]
- Jolly S. S., Singh B. M., Mathur O. C. Endemic fluorosis in Punjab (India). Am J Med. 1969 Oct;47(4):553–563. doi: 10.1016/0002-9343(69)90186-7. [DOI] [PubMed] [Google Scholar]
- Jowsey J., Johnson W. J., Taves D. R., Kelly P. J. Effects of dialysate calcium and fluoride on bone disease during regular hemodialysis. J Lab Clin Med. 1972 Feb;79(2):204–214. [PubMed] [Google Scholar]
- Jowsey J., Schenk R. K., Reutter F. W. Some results of the effect of fluoride on bone tissue in osteoporosis. J Clin Endocrinol Metab. 1968 Jun;28(6):869–874. doi: 10.1210/jcem-28-6-869. [DOI] [PubMed] [Google Scholar]
- Kaye M., Chatterjee G., Cohen G. F. Arrest of hyperparathyroid bone disease with dihydrotachysterol in patients undergoing chronic hemodialysis. Ann Intern Med. 1970 Aug;73(2):225–233. doi: 10.7326/0003-4819-73-2-225. [DOI] [PubMed] [Google Scholar]
- Kaye M., Lajzerowicz R., Jones V. Etude radiologie de la teneur minérale des phalanges de sujets normaux et de malades en hémodialyse chronique. Union Med Can. 1971 Mar;100(3):480–484. [PubMed] [Google Scholar]
- Kaye M., McDade D., Dufresne L., Comty C. Hemodialysis at home. Can Med Assoc J. 1968 Oct 26;99(16):779–785. [PMC free article] [PubMed] [Google Scholar]
- Kim D., Bell N. H., Bundesen W., Putong P., Simon N. M., Walker C., Del Greco F. Renal osteodystrophy in course of periodic dialysis for chronic uremia. Trans Am Soc Artif Intern Organs. 1968;14:367–371. [PubMed] [Google Scholar]
- POSNER A. S., EANES E. D., HARPER R. A., ZIPKIN I. X-RAY DIFFRACTION ANALYSIS OF THE EFFECT OF FLUORIDE ON HUMAN BONE APATITE. Arch Oral Biol. 1963 Jul;8:549–570. doi: 10.1016/0003-9969(63)90071-2. [DOI] [PubMed] [Google Scholar]
- Parfitt A. M., Massry S. G., Winfield A. C., DePalma J. R., Gordon A. Disordered calcium and phosphorus metabolism during maintenance hemodialysis. Correlation of clinical, roentgenographic and biochemical changes. Am J Med. 1971 Sep;51(3):319–330. doi: 10.1016/0002-9343(71)90267-1. [DOI] [PubMed] [Google Scholar]
- Posen G. A., Gray D. G., Jaworski Z. F., Couture R., Rashid A. Comparison of renal osteodystrophy in patients dialyzed with deionized and non-deionized water. Trans Am Soc Artif Intern Organs. 1972;18(0):405–411. doi: 10.1097/00002480-197201000-00100. [DOI] [PubMed] [Google Scholar]
- TAVES D. R., NEUMAN W. F. FACTORS CONTROLLING CALCIFICATION IN VITRO: FLUORIDE AND MAGNESIUM. Arch Biochem Biophys. 1964 Dec;108:390–397. doi: 10.1016/0003-9861(64)90418-7. [DOI] [PubMed] [Google Scholar]
- Taves D. R., Freeman R. B., Kamm D. E., Ramos C. P., Scribner B. H. Hemodialysis with fluoridated dialysate. Trans Am Soc Artif Intern Organs. 1968;14:412–414. [PubMed] [Google Scholar]
