| Theme | Renal Osteodystrophy, Up-To-Date | |
|---|---|---|
| Title | When and how should we start vitamin D treatment in patients with chronic kidney disease? | |
| Publish Date | 2006/01 | |
| Author | Masashi Suzuki | Kidney Center of Shinraku-En Hospital |
| [ Summary ] | Active vitamin D deficiencies and hypersecretion of PTH are often observed in the early stages of chronic kidney disease (CKD), i.e. with a GFR of less than 60 ml/min. Recently the NKF proposed clinical practice guidelines for the management and treatment of bone disease with CKD. The guidelines are a bit different from those actually observed in Japanese patients, an example would be that ergocalciferol is not available in our country. A new concept concerning serum inhibitors for ectopic calcification has not been considered either. |
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